大动脉节约根置换与尖端修复在连接组织疾病的结果
Pichoy Danial1, Pierre Demondion2, Mathieu Debauchez2
1Department of Cardiovascular and Thoracic Surgery, Sorbonne University, Pitié-Salpêtrière Hospital, AP-HP, 47-83, boulevard de l'Hôpital, 75013 Paris, France; F-CRIN, INI-CRCT, 54500 Nancy, France.
Archives of cardiovascular diseases
|August 28, 2023
概括
在患有大动脉缺陷的马尔凡综合征患者中,大动脉门修复显示出极好的5年耐用性. 这种门节约技术为更换提供了安全有效的替代方案,具有很高的存活率和无需重新操作率.
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
- 医疗工程 医学工程
背景情况:
- 门节约手术在马尔凡综合征中很常见,但对大动脉缺陷的尖端修复结果没有充分研究.
- 马方综合征通常涉及大动脉根动脉瘤和大动脉缺陷,需要手术干预.
研究的目的:
- 评估大动脉尖端修复在马尔凡综合征和大动脉缺陷患者的门节约手术中的结果和持久性.
主要方法:
- 从大动脉维修国际登记处 (AVIATOR) 收集的前性数据的回顾性审查.
- 包括55名患有马方综合征和大动脉衰竭的成年患者,这些患者正在接受重塑和与大动脉修复的结合术.
- 排除了患有大动脉动脉瘤但没有大动脉衰竭的患者.
主要成果:
- 46名患者接受了大动脉修复;9人进行了大动脉置换.
- 在出院时没有住院死亡率或显著的大动脉功能不全.
- 五年生存率为94.4%;五年无需重新手术的比例为94.6%.
结论:
- 重塑和大动脉门修复在马尔凡综合征患者中表现出极好的5年耐用性.
- 这种节的方法即使在有结缔组织疾病的患者中也是有效的.
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