大动脉狭窄和大动脉小
Afonso B Freitas-Ferraz1, Gabriela Tirado-Conte1, Francois Dagenais1
1Quebec Heart and Lung Institute, Laval University, Quebec City, Canada (A.B.F.-F., G.T.-C., F.D., E.D., S.M., M.B., P.P., J.R.-C.).
Circulation
|June 4, 2019
概括
治疗严重的大动脉狭窄的小大动脉环是一个挑战, 特别是对于老年妇女. 本综述评估了治疗策略,以改善该患者群体的血液动力学和结果.
科学领域:
- 心脏病学
- 心脏外科
- 干预心脏病学
背景情况:
- 小主动脉环是严重主动脉狭窄的常见问题,特别是在老年妇女身上.
- 小主动脉环患者的最佳治疗策略仍然存在争议.
- 目前的手术选择包括大动脉根扩大和各种假.
研究的目的:
- 定义和审查主动脉狭窄中小主动脉环的流行率和临床影响.
- 评估当前治疗策略,以改善该群体的血液动力学和结果.
- 突出通过导管的动脉置换作为一个可行的替代方案.
主要方法:
- 对当前定义,流行率和临床影响的文献综述.
- 对手术和透管治疗策略的分析.
- 血液动力学和临床结果数据的评估.
主要成果:
- 小主动脉环在严重主动脉狭窄时存在重大管理挑战.
- 各种手术技术旨在改善膜血液动力学和患者的结果.
- 在这种群体中,透过导管的动脉置换显示出有希望的血液动力学结果.
结论:
- 需要仔细考虑可用的治疗方案,才能有效地治疗大动脉狭窄的小大动脉环.
- 穿过导管的大动脉置换提供了一个有价值的替代方案, 特别是对于老年患者.
- 需要进一步研究以优化治疗策略和长期结果.
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