在心脏手术后诊断和手术治疗心周收缩
Alejandra Castro-Varela1, Hartzell V Schaff1, Jae K Oh2
1Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn.
The Journal of thoracic and cardiovascular surgery
|June 9, 2023
概括
心脏手术后的狭窄性心膜炎通常与右心力衰竭有关. 首次手术后的紧急心周切除术与这些患者的长期存活率较差有关.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 胸部外科手术 胸部外科手术
背景情况:
- 以前的心脏手术是收缩性心膜炎的日益严重的原因.
- 关于这种疾病的临床表现和手术治疗结果的数据有限.
研究的目的:
- 分析心脏外科手术后患有收缩性心脏炎的患者心脏切除术的临床表现和结果.
主要方法:
- 一项对1993年1月1日至2017年7月1日期间因术后收缩而接受心周切除术的263名患者的回顾性审查.
- 评估的结果包括早期和晚期死亡率以及临床表现特征.
主要成果:
- 平均年龄为64岁;心周切除术的平均间隔为2.7年.
- 之前常见的手术包括冠状动脉旁路移植 (43%) 和门手术 (32%).
- 右心力衰竭症状 (84%) 是最常见的表现;5.5%的早期死亡率,5年和10年生存率分别为61%和44%. 年龄较大,糖尿病和初始手术后2年内非选择性心周切除术与生存率下降有关.
结论:
- 心脏手术后的心周收缩可以在任何时间间隔表现出来.
- 在先前进行心脏手术的患者中,右心力衰竭症状需要考虑收缩性心膜炎.
- 心脏手术后的紧急心膜切除术与糟糕的长期结果有关.
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