儿科大动脉置换:一个元分析和微模拟研究
Maximiliaan L Notenboom1, Art Schuermans2,3,4, Jonathan R G Etnel1
1Department of Cardiothoracic Surgery, Erasmus University Medical Centre, Erasmus MC, Doctor Molewaterplein 40, 3015 GD, Rotterdam, Zuid-Holland, The Netherlands.
European heart journal
|June 27, 2023
概括
儿科大动脉置换 (AVR) 的结果不理想,幼儿的死亡率更高. 罗斯手术比机械AVR (mAVR) 提供了生存优势,但仔细考虑门替代品至关重要.
科学领域:
- 心血管外科心血管外科
- 儿童心脏病学 儿童心脏病学
- 生物医学工程 生物医学工程
背景情况:
- 儿科大动脉置换 (AVR) 决策需要全面的结果数据.
- 目前儿科AVR的结果是不理想的,特别是在年轻患者中.
结论:
- 罗斯手术在儿科患者中显示了与mAVR相比的生存益处.
- 所有的门替代品都存在相当大的重新干预危险.
- 仔细权衡每种门替代品的优缺点对于儿科AVR选择至关重要.
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