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在急性A型大动脉剖析中进行全动脉门置换 - - 一次性机构体验

Varun Shetty¹, Venkatesa Kumar Anakaputhur Rajan¹, Rohan Kiritkumar Makwana¹

¹Department of Cardiothoracic Surgery, Narayana Institute of Cardiac Sciences, Bengaluru, India.

Indian journal of thoracic and cardiovascular surgery

|August 23, 2023

概括

对于急性大动脉剖析而言,整体门置换是复杂的,但可以实现的. 这项研究显示,印度患者的结果可接受,中风率低,住院死亡率可控.

科学领域:

心血管外科心血管外科
胸部外科手术胸部外科手术
大动脉外科手术

背景情况:

整体门置换是一个具有挑战性的手术,特别是在急性大动脉剖析中.
印度人群中全弓置换的结果数据有限.
这项研究解决了急性大动脉剖析管理中局部化结果数据的需求.

研究的目的:

评估急性大动脉剖析患者的整体门置换的结果.
为了评估这个程序的安全性和有效性,在印度的一个第三级护理中心.
提供与急性大动脉剖析全弓置换相关的发病率和死亡率的数据.

主要方法:

在2012年至2022年期间,对20名患者进行了急性A型大动脉剖析的总门置换.
排除了经过门修复,混合修复或动脉瘤疾病的患者.
对人口统计,手术内和术后数据的分析,比较幸存者和非幸存者.

主要成果:

这项研究包括20名患者 (75%是男性,平均年龄为49.3岁),接受了全动脉门置换.
住院死亡率为20% (4名患者),再检查率为30%.
神经学并发症包括5%的永久性中风和5%的临时神经功能障碍;整体平均存活时间为76.1个月.

结论:

整体门置换可以在急性大动脉剖析中以可接受的死亡率和发病率进行.
这些发现支持这种复杂的程序在印度医疗保健环境中的可行性.
需要对更大的队列进行进一步的研究,以改进外科手术策略并改善结果.

关键词:

大动脉动脉瘤是一个大动脉动脉瘤.大动脉切除术 (AORT)胸部大动脉的胸部大动脉总的大动脉门.

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