在法洛特型异常中,对大动脉结构扩张的十年随访
Woojung Kim1,2, Jae Gun Kwak3, Sungkyu Cho1
1Department of Thoracic and Cardiovascular Surgery, College of Medicine, Seoul National University Children's Hospital, Seoul National University, 101 Daehak-Ro, Chongno-Gu, Seoul, 03080, Republic of Korea.
Pediatric cardiology
|July 5, 2023
概括
大动脉根和上升大动脉扩张在法洛特型异常中很常见. 这项研究发现,随着时间的推移,大动脉尺寸显著增加,这表明这些患者需要更频繁的随访.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 儿科心脏手术 儿科心脏手术
背景情况:
- 大动脉根和上升大动脉扩张经常在患有法洛特型异常的患者中观察到.
- 这种现象的管理策略需要进一步研究.
研究的目的:
- 为了确定患有法洛特型异常的患者的大动脉结构扩张的速度.
- 在这个人群中调查大动脉扩张的潜在管理策略.
主要方法:
- 对66名患有法洛特类异常的患者 (法洛特四极形 (TOF) 和右心室双出口 (DORV)) 的回顾性研究,他们接受了正手术.
- 分析心脏CT血管造影至少5年间隔,测量直径和大动脉横截面面积/高度 (AH) 比率的大动脉根结构.
- 扩张定义为一个z分数>2.
主要成果:
- 瓦萨尔瓦的鼻显示出最显著的扩张 (32.8毫米在随访).
- 在四个大动脉结构中,AH比率在平均9.5年内显著增加.
- 从最初的CT扫描到后续CT扫描,大动脉扩张的患病率从74.2%增加到86.4%.
结论:
- 费洛特型异常中的大动脉根结构显示,大约在9.5年内,AH比率显著增加.
- 大动脉扩张的增加需要考虑更频繁的后续检查,特别是当患者接近20多岁时.
更多相关视频
06:51Author Spotlight: Development of a Minimally Invasive Large-Animal Model for Reliable and Reproducible Cardiovascular Research
Published on: October 20, 2023
1.1K
14:14Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
14.1K
相关概念视频
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
32
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
32
Aneurysm III: Interprofessional Care
10
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
10
