深入潜入逆食道主要动脉肺侧侧动脉
Richard D Mainwaring1, L Mac Felmly1, Frank L Hanley1
1Division of Pediatric Cardiac Surgery, Lucile Packard Children's Hospital Stanford, Stanford University School of Medicine, Stanford, CA, USA.
World journal for pediatric & congenital heart surgery
|July 27, 2023
概括
逆食道主要的肺大动脉附带动脉 (MAPCAs) 是常见的,通常需要单聚焦. 中期后续调查显示,95%的这些手术治疗的MAPCA仍然广泛存在,这表明干预成功.
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
- 胸部解剖学 胸部解剖学
背景情况:
- 主要动脉肺附带动脉 (MAPCA) 呈现出显著的解剖学变异性.
- 逆食道MAPCAs在进入肺之前在食道和支气管后面进行.
研究的目的:
- 审查回食管MAPCA的解剖学,生理学和外科特征.
- 分析单聚焦的回食道MAPCA的手术结果和长期通透性.
主要方法:
- 十年来三项机构研究数据的回顾性分析.
- 通过手术识别和统一定位回食道MAPCA.
- 术后导管以评估穿透性.
主要成果:
- 在三分之二的评估患者中发现了逆食道MAPCA,较常见的是左侧门.
- 大多数 (96%) 确定的回食道MAPCA需要单聚焦.
- 在手术后17个月的中位数上,95%的单聚焦MAPCA是专利 (广泛专利或狭窄的).
结论:
- 逆食道MAPCA是常见的发现,通常需要手术单聚焦.
- 逆食道MAPCA的单聚焦显示出优异的中期通透率.
- 对这些复杂的血管进行手术的管理可以带来有利的长期结果.
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