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对于严重的IIIb型缺血性额头吐症的后部说明书延伸的初步结果
Benoit de Varennes1, Rakesh Chaturvedi, Surita Sidhu
1McGill University Health Center, Montreal, Quebec, Canada. benoit.devarennes@muhc.mcgill.ca
Circulation
|May 20, 2009
概括
后部附带扩展与结婚整形手术有效地修复严重的缺血性 mitrale 吐. 这种外科手术技术提高了对子门的能力和患者的功能状态,提供了良好的中期结果.
科学领域:
- 心血管外科心血管外科
- 心脏门维修 心脏门维修
- 中心门疾病的疾病.
背景情况:
- 严重的缺血性额头吐会带来管理方面的挑战.
- 目前的手术门修复结果往往令人失望.
研究的目的:
- 为了评估后部叶片延伸与结婚整形术的安全性和有效性,用于严重的缺血性额头吐.
主要方法:
- 44名患有严重 (4+) 卡蒂尔 IIIb 类型缺血性部反的患者接受了修复.
- 该手术涉及用牛心膜延伸后侧叶片和重塑结膜整形手术.
- 心声检查评估了对心肌膜的能力;术后评估了功能状态.
主要成果:
- 平均随访时间为38个月,30天死亡率为11%,晚期死亡率为14%.
- 在2年内,中度/严重的复发性 mitra regurgitation 的精算自由率为90%.
- 90%的患者在2年内达到纽约心脏协会I类功能状态.
结论:
- 带有 annuloplasty 的后侧叶片延长是一种安全有效的治疗方法,用于严重的 IIIb 型缺血性 mitrale 吐.
- 这种技术提供了持久的两头门能力,并在中期改善了功能状态.
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