相关实验视频

Updated: Jul 18, 2025

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

在动脉切换手术后,分支肺动脉再干预的患病率

Samantha Miller¹, Deborah Kozik², Joshua D Kurtz³

¹School of Medicine, University of Louisville, Louisville, KY, USA.

World journal for pediatric & congenital heart surgery

|August 23, 2023

概括

在接受动脉切换手术 (ASO) 的婴儿中,有13%的婴儿需要因为支肺动脉狭窄而进行重新干预. 较长的心肺旁路时间与重新干预率的增加有关. 重复干预改善了肺动脉直径和降低了梯度.

科学领域:

儿童心脏病学儿童心脏病学
生产性心脏手术手术生产心脏手术
血管干预血管干预

背景情况:

大动脉的右转移 (dTGA) 是一种严重的先天性心脏缺陷.
动脉切换手术 (ASO) 是dTGA的黄金标准手术修复.
分支肺动脉 (PA) 狭窄是ASO后已知的并发症,可能需要重新干预.

研究的目的:

为了确定ASO后支部PA狭窄的重新干预的频率.
确定与需要重新干预相关的因素.
评估这个患者群体中重新干预的结果.

主要方法:

在2011年6月至2021年2月期间在单一中心接受ASO的婴儿的回顾性分析.
主要结果是ASO后的分支机构PA重新干预的普遍性.
收集的数据包括患者人口统计,手术细节,再干预程序和后续结果.

主要成果:

在68名婴儿中,9名 (13%) 需要对分支PA进行10次重新干预.
需要重新干预的患者心肺绕道时间显着更长 (P=.047).
重复干预包括手术,支架安置和气球血管移植,导致改善PA直径和减少回声梯度,没有不良事件或死亡率.

结论:

在这个队列中,ASO后分支PA重新干预的流行率为13%.
在ASO期间心肺绕道时间较长是随后分支PA重新干预的风险因素.
重新干预有效地改善了PA尺寸并减少了血液动力学梯度,提供了安全和有益的治疗选择.

关键词:

动脉开关操作动脉开关操作遗传性心脏病是一种先天性心脏病.生产性心脏手术是一项手术.大动脉的大动脉的转移.

更多相关视频

A Rodent Model of The Ross Operation: Syngeneic Pulmonary Artery Graft Implantation in A Systemic Position

A Rodent Model of The Ross Operation: Syngeneic Pulmonary Artery Graft Implantation in A Systemic Position

Published on: April 1, 2022

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Published on: April 24, 2017

相关概念视频

Peripheral Artery Disease V: Postoperative Nursing Management

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...