在三管主动脉置换患者的主动脉切割后,对主动脉切割的风险因素分析
Yuki Tamagawa1, Masashi Kawamura2, Kana Shibata1
1Department of Cardiovascular Surgery, Fukui Cardiovascular Center, Fukui City, Fukui Prefecture, Japan.
General thoracic and cardiovascular surgery
|September 1, 2023
概括
大动脉吐和上升大动脉扩张增加了大动脉膜更换后大动脉剖析的风险. 患有这些疾病的患者需要在手术后进行仔细监测.
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:
- 大动脉扩张往往伴随着大动脉膜疾病.
- 对三主动脉进行主动脉切割后置换 (AVR) 的风险尚未完全理解.
研究的目的:
- 在患有三主动脉的患者中分析AVR后大动脉剖析的风险因素.
- 为了确定AVR后晚期大动脉剖析的预测因素.
主要方法:
- 在2000年至2020年期间接受AVR的599名患者的回顾性审查.
- 对AVR后大动脉剖析发生率的风险因素分析.
主要成果:
- 七名患者出现了晚期的大动脉剖析;所有人都患有大动脉吐的AVR.
- 大动脉反是大动脉剖析的独立预测因素 (p < 0.0001).
- 在AVR上升的大动脉直径≥46.0毫米时预测了剖析风险,剖析自由度明显较低 (5年后66.7%vs100%).
结论:
- 在AVR期间与上升性大动脉扩张一起的大动脉反是晚期大动脉剖析的重要危险因素.
- 上升的大动脉直径≥46.0毫米可能表明剖析风险增加.
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