术前大动脉衰竭对大动脉节约手术后的结果的影响
Laurent de Kerchove1, Munir Boodhwani, David Glineur
1Université Catholique de Louvain, Cliniques Universitaires Saint-Luc, Brussels, Belgium. laurent.dekerchove@uclouvain.be
Circulation
|September 16, 2009
概括
动脉节约性手术显示出良好的中期结果,即使有手术前的动脉缺陷或需要修复尖端. 这种方法对于大动脉根病理是安全有效的.
科学领域:
- 心血管外科心血管外科
- 胸部外科手术 胸部外科手术
- 心脏外科手术 心脏外科手术
背景情况:
- 手术前的大动脉缺陷 (AI) 和需要修复尖端是大动脉 (AV) 节约手术结果的潜在风险因素.
- 本研究研究了这些因素对AV手术中期结果的影响.
研究的目的:
- 评估大动脉 (AV) 节约性手术在手术前大动脉缺陷 (AI) 或需要 cusp 修复的患者中期结果.
- 确定手术前的AI或需要修复尖端是否会影响静脉动脉节约手术的成功.
主要方法:
- 在1996年至2008年间,连续164名患者接受了选择性静脉静脉节约手术的回顾性分析.
- 收集的数据包括手术前AI的严重程度,门类型 (双与三) 和手术技术 (再植入与重塑).
- 评估的中期结果包括医院死亡率,整体存活率,免于重复手术和免于复发性AI.
主要成果:
- 医院死亡率很低 (0.6%).医院死亡率很低 (0.6%). 在8年后的总生存率为88%.
- 在中期随访 (平均57个月) 时,不需要重新手术和复发性AI的自由程度与不考虑手术前AI的严重程度或需要顶端修复的需要相似.
- 两膜 (91%) 与三膜 (38%) 相比,膜修复的频率更高.
结论:
- 对大动脉根病理进行大动脉 (AV) 节约性手术,可获得可接受的中期结果.
- 对尖端评估和修复的系统方法允许成功进行AV节约性手术,无论术前大动脉功能不充分或需要尖端修复.
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