我们应该包括哪些表型在低形成性左心综合征中?
Robert H Anderson1, Diane E Spicer2, Adrian Crucean3
1Biosciences Division, Newcastle University, Newcastle-upon-Tyne, UK.
World journal for pediatric & congenital heart surgery
|September 22, 2023
概括
腹腔隔膜的完整性是区分低质左心综合征 (HLHS) 和相关异常的关键. 这一标准有助于根据获得的胎儿状况和左心室生长停止的时间来分类HLHS表型.
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
- 发育生物学 发展生物学
背景情况:
- 最近一期关于左心缺血性心脏综合征 (HLHS) 的专题号没有关注用于表型区分的腹腔隔膜完整性.
- 从相关异常区分HLHS需要明确的标准来分类特定的心脏形.
研究的目的:
- 建议将心室隔膜的完整性作为区分HLHS表型的主要标准.
- 根据发育时间重新评估HLHS和相关异常的分类.
主要方法:
- 对HLHS和相关的先天性心脏缺陷的现有证据的审查.
- 对心室隔膜完整性在心脏发育中的作用的分析.
- 基于提出的标准,对不同的HLHS表型进行比较评估.
主要成果:
- 腹腔隔膜的完整性是HLHS和相关异常之间的关键区分特征.
- 在HLHS中的表型可以根据相对于心脏发育的左心室生长停滞的时间,隔膜关闭后的时间来分类.
- 具体认可的组合包括大动脉/心脏缩,心脏缩与大动脉缩,以及联合心脏缩/心脏缩.
结论:
- 基于心室隔膜完整性和发育时间的HLHS分类提供了对这些复杂的先天性心脏缺陷的精细理解.
- 这种方法有助于识别病变的频谱,包括心脏左侧低质复合体,以及它们的起源作为获得的胎儿疾病.
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