经验与手术纠正双出口两个心室的经验
Ashish Katewa1, Maruti Haranal1, Ashish Narayan Madkaiker2
1Department of Pediatric Cardiac Surgery, Amrita Institute of Medical Sciences and Research, Faridabad, Haryana, India.
Indian journal of thoracic and cardiovascular surgery
|August 23, 2023
概括
两个心室的双出口,一种罕见的先天性心脏缺陷,越来越被认可. 在所有五名研究患者中,成功地进行了双心室外科修复,为这种复杂的疾病提供了希望.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 遗传性心脏病是一种先天性心脏病.
- 心脏外科手术 心脏外科手术
背景情况:
- 双出口两个心室 (DOBV) 是一种罕见的先天性心脏形.
- 它涉及来自两个心室的两个大动脉干.
- 越来越多的人对这种疾病的认识凸显了了解治疗选择的必要性.
研究的目的:
- 描述双室出口患者的临床特征和结果.
- 为了评估这种异常的手术双心膜修复的可行性和成功.
- 为稀缺的DOBV管理文献做出贡献.
主要方法:
- 五名被诊断患有双出口两个心室的患者的回顾性审查.
- 手术干预的重点是双心室修复.
- 根据心室间通道的大小和位置评估修复可行性.
主要成果:
- 所有五名患者都经历了成功的双心室手术修复.
- 修复的可行性是由心室间通讯的特征决定的.
- 在这个小群体中,没有详细说明任何特定的并发症或不良事件.
结论:
- 手术双心室修复是一种可行且成功的治疗选择,可用于双心室双出口的患者.
- 仔细的手术前对心内解剖学的评估对于手术规划至关重要.
- 需要进一步的研究来扩大对这种罕见疾病的理解和管理.
相关概念视频
Chambers of the Heart
5.1K
The human heart is a complex organ made up of four chambers: the right and left atria and the right and left ventricles. These internal chambers are separated by partitions known as the interatrial and interventricular septa. The exterior of the heart features a groove known as the coronary sulcus that demarcates the atria from the ventricles, while the anterior and posterior interventricular sulci distinguish between the two ventricles.
Deoxygenated blood from the body is received in the right...
Deoxygenated blood from the body is received in the right...
5.1K
Cardiomyopathy V: Interprofessional Care
16
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
16
Mitral Regurgitation III: Medical Management
18
Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
18
Mitral Stenosis III: Medical Management
13
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
13
Cardiomyopathy II: Dilated Cardiomyopathy
11
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
11


