进行分阶段内镜中膜修复,以治疗具有中环腹的活性传染性内心炎
Riku Kato1, Soh Hosoba1, Shogo Maeda1
1Japanese Red Cross Nagoya Daiichi Hospital, Nagoya, Japan.
Interdisciplinary cardiovascular and thoracic surgery
|September 23, 2023
概括
一个分阶段的,完全内镜的方法有效地修复了复杂的 mitra 环状,使感染性内心炎复杂化. 这种最少的侵入性技术为精选的患者提供了可行的解决方案,在没有复发的情况下取得了成功的结果.
科学领域:
- 心血管外科心血管外科
- 传染性内心炎的管理
- 最少侵入性的心脏手术
背景情况:
- 在传染性内心炎手术中,状环形带来了重大的手术挑战.
- 传统的外科手术方法可能涉及广泛的程序,并带有相当大的风险.
- 针对复杂的心脏病的最小侵入性技术正在越来越多地被探索.
研究的目的:
- 描述一种新的,分阶段的,完全内镜的外科手术策略来修复 mitra annular abscess.
- 评估这种微创方法在患有传染性内心炎的患者中的可行性和有效性.
主要方法:
- 一名28岁的女性患者患有黄金葡萄球菌感染性内心炎和心肌环状,经历了两阶段内镜修复.
- 第1阶段:完全脱皮,用自主心周贴片修复中枢,并进行无心整形手术,由于组织脆弱性而使环状缺陷无法修复.
- 第2阶段 (2周后):以完全内镜的方式重建环状缺陷并进一步修复中枢,由痕组织形成促进.
主要成果:
- 阶段内镜修复成功地解决了 mitra 环状,并修复了 mitra .
- 患者经历了一个无事件的术后过程.
- 在5个月的随访期间,没有观察到或内心炎的复发.
结论:
- 一个分阶段,完全内镜的手术策略可以是一个安全和有效的选择,用于管理在特定的感染性内心炎病例中额头环状.
- 这种方法尽量减少侵入性,同时实现成功的解剖和功能修复.
- 需要进一步的研究来确定这种技术的更广泛的适用性.
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