左心室动脉瘤切除术在患有类似性痕的患者中的相对风险与真正的异动性动脉瘤相比
G S Couper1, R W Bunton, V Birjiniuk
1Harvard Medical School, Boston, Mass.
Circulation
|November 1, 1990
概括
左心室动脉瘤切除有13%的手术死亡率. 与异动动脉动脉瘤相比,异动脉动脉瘤与较高的死亡率和较低的存活率有关.
科学领域:
- 心血管外科心血管外科
- 心脏外科手术的结果
- 动脉瘤切除 动脉瘤切除
背景情况:
- 左心室动脉瘤切除是一个复杂的程序.
- 识别风险因素和预后指标对于患者的治疗结果至关重要.
研究的目的:
- 分析左心室动脉瘤切除的危险因素.
- 为了比较类似性和异动性左心室动脉瘤之间的结果.
主要方法:
- 从1971年至1988年进行左心室动脉瘤切除的303名患者的回顾性分析.
- 评估术前和手术相关的变量.
- 在评估结果时区分类似动脉动脉瘤和异动动脉瘤.
主要成果:
- 整体手术死亡率为13%,心脏输出量低和心律失常是主要原因.
- 死亡风险因素包括晚期心力衰竭分类,低射出率,需要气球支,以及同胞性动脉瘤类型.
- 异动动脉动脉瘤的五年生存率为63%与异动脉动脉瘤的51%相比.
结论:
- 左心室动脉瘤切除具有显著的手术风险.
- 与非运动性动脉瘤相比,非运动性动脉瘤与较差的短期和长期结果有关.
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