微创性 mitra 门修复与跨的 mitra neochordae 植入
Emma Bergonzoni1, Augusto D'Onofrio1, Florinda Mastro1
1Cardiac Surgery Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy.
Frontiers in cardiovascular medicine
|August 14, 2023
概括
穿式非式跳动心脏neochordae植入为严重的中心回提供了一个微创手术选择. 这种技术显示出有希望的长期结果,为部分患者提供了可行的替代方案.
科学领域:
- 心血管外科心血管外科
- 最少侵入性的心脏手术
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 微创心脏手术包括离,心跳的手术,切口最小,经常使用实时成像.
- 严重的 mitra 反,特别是由于叶片脱落或,是一个重要的临床挑战.
研究的目的:
- 审查设备,指示,患者选择,以及跨式非式跳动心脏neochordae植入的结果.
- 讨论这种微创性中枢门修复技术的临床和心声学结果以及未来的前景.
主要方法:
- 审查现有的文学关于跨管外抽跳动的心脏neochordae植入.
- 分析临床数据和回声心脏学结果,这些数据来自手术后长达5年的研究.
- 在手术过程中实时三维心声回声指导的描述.
主要成果:
- 该程序在长达5年的时间内显示出良好的临床结果.
- 由于叶片脱落或叶片而导致的严重关回的成功修复已经实现.
- 现场三维回声心脏图对指导和评估至关重要.
结论:
- 穿式非式心跳neochordae植入为选定的患者提供了传统手术的有效替代方案.
- 基于临床和解剖学因素的患者选择对于预测成功至关重要.
- 这种最少的侵入性方法为 mitra 门修复提供了一个有前途的选择.
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