在先天纠正的转位中对中枢进行手术的考虑
Ahmed A Abdelrehim1, Joseph A Dearani1, William R Miranda2
1Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota.
The Annals of thoracic surgery
|July 24, 2023
概括
在先天纠正的大动脉转移 (ccTGA) 中,二手 (MV) 吐不太常见,但比三管 (TV) 问题更难修复. 为了在ccTGA患者中获得更好的结果,可能更喜欢MV替代.
科学领域:
- 心血管外科心血管外科
- 遗传性心脏病是一种先天性心脏病.
- 膜心脏疾病 膜心脏疾病
背景情况:
- 系统性心室门 (三门 [TV]) 吐是已知的大动脉先天纠正转移 (ccTGA) 中心室衰竭的已知原因.
- 在ccTGA中,肺下心室门 (心心 (MV)) 吐的手术管理和结果仍未得到充分研究.
研究的目的:
- 为了评估手术管理和长期的结果,在患有先天纠正的大动脉转移 (ccTGA) 的患者中,对 mitra (MV) 吐进行评估.
主要方法:
- 在1979年至2022年间接受了MV手术的22名ccTGA患者的回顾性审查.
- 分析人口统计,反病的病因,手术细节和患者的结果,并进行长期随访.
主要成果:
- 82%的患者存在内在的MV病理; 73%接受了MV修复,27%接受了替换.
- 发生了一例术后死亡 (5%). 在平均12年的随访期间,32%的患者死亡.
- 经过修复后的反复吐因子因病理而异,诱导的吐显示出最高的复发率 (43%).
结论:
- 中心 (MV) 疾病不太常见,但比ccTGA中三管 (TV) 疾病更难修复.
- 内在的MV病理很常见,可能表明ccTGA患者更喜欢MV替代而不是修复.
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