门节约性大动脉根置换和大动脉柱修复的长期结果
Sara Kubo1, Aya Tanaka1, Atsushi Omura1
1Cardio-Aortic Center, Takatsuki General Hospital, Osaka, Japan.
The Annals of thoracic surgery
|August 4, 2023
概括
随着大动脉尖端修复的节约性大动脉根置换 (VSRR) 的长期结果是令人满意的. 复悬浮技术在三管主动脉患者的主动脉脱落中是有效的.
科学领域:
- 心脏外科手术 心脏外科手术
- 大动脉门维修
- 心血管研究研究心血管研究
背景情况:
- 门节约性大动脉根置换 (VSRR) 和大动脉顶修复对大动脉吐的长期结果尚不清楚.
- 大动脉反需要有效的手术干预,以保持本源门的功能.
研究的目的:
- 评估VSRR与大动脉尖端修复的长期疗效.
- 根据大动脉门类型和尖端修复技术来比较结果.
主要方法:
- 在363名患者 (285名三主动脉 [TAV],71名双主动脉) 进行了重新植入的VSRR.
- 在268名患者中进行了大动脉尖端修复,采用了中央折叠,再悬浮和强化等技术.
- 平均随访时间为71.4个月.
主要成果:
- 在10年和15年后,TAV患者无需主动脉再手术的自由率分别为85.1%和78.3%.
- 在患有尖端落的患者中,重新手术的自由度较低 (77.4% vs 93.2%在10年).
- 重复悬浮/增强技术显示出更好的免于重复操作比中央复合 (100% vs 72.8%在10年).
结论:
- 与大动脉尖端修复的VSRR显示了令人满意的长期结果.
- 复悬浮技术是修复TAV患者大动脉尖端脱落的一个有价值的选择.
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