三管:当前的观点和三管吐的发展管理
Jason H Rogers1, Steven F Bolling
1Division of Cardiovascular Medicine, University of Davis Medical Center, 4860 Y St, Suite 2820, Sacramento, CA 95817, USA. jason.rogers@ucdmc.ucdavis.edu
Circulation
|May 28, 2009
概括
三管反 (TR) 经常被忽视,但会显著影响结果,特别是在关节手术后. 需要新的透导管疗法来解决这个被忽视的膜心脏病.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 干预心脏病学 干预心脏病学
背景情况:
- 膜心脏病的诊断和治疗正在进步,特别是对大动脉,肺和中枢的穿皮疗法.
- 三回 (TR) 经常是由三环扩张引起的,与左侧心力衰竭和右心室过载有关.
- 在米特拉手术期间未经治疗的TR会使术后结果,功能类和生存情况恶化,并且经常在手术后持续存在.
研究的目的:
- 审查三回 (TR) 的解剖学,病理生理学和机械纠正.
- 探索跨导管疗法在治疗TR.TR.中的潜力.
- 为了突出TR目前的忽视,尽管它的临床意义.
主要方法:
- 对三膜解剖学和TR病理生理学现有文献的综述.
- 分析与未经治疗或手术治疗的TR相关的结果.
- 探索当前和潜在的未来治疗方式,包括穿皮疗法.
主要成果:
- TR往往是环状扩张的结果,仅靠米特拉手术无法可靠地解决.
- 在关节手术期间手术纠正TR是有效的,但重新手术带来了高死亡率.
- 新兴的横导管疗法用于额头回可能需要对TR进行并行皮肤穿的方法.
结论:
- 三管吐 (TR) 是一个重要的临床问题,往往没有得到充分的治疗.
- 有效的TR管理,可能通过透导管干预,对于改善患者的治疗结果至关重要.
- 需要进一步研究和开发穿皮TR疗法.
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