扩张的上升大动脉中的大动脉壁厚度:三和两大动脉之间的比较
Pasquale Totaro1, Simone Morganti2, Ferdinando Auricchio3
1Division of Cardiac Surgery, IRCCS Foundation Hospital "San Matteo", Piazzale Golgi 1, 27100 Pavia, Italy.
Archives of cardiovascular diseases
|September 28, 2023
概括
双管大动脉 (BAV) 大动脉损伤患者的大动脉壁较薄,特别是扩张超过51mm的患者. 早期监测对于这些患者至关重要,因为有显著的解剖学变化.
科学领域:
- 心血管研究研究心血管研究
- 大动脉疾病 大动脉疾病
- 膜心脏疾病 膜心脏疾病
背景情况:
- 双主动脉 (BAV) 与胸前主动脉扩张和潜在的主动脉并发症有关.
- 假设的BAV大关节病的解剖学,组织学和机械差异表明风险增加.
研究的目的:
- 为了比较患有BAV和三主动脉 (TAV) 的患者之间对大动脉壁扩张的适应性.
- 确定大动脉壁厚度的差异及其与BAV与TAV扩张的关系.
主要方法:
- 分析了来自71名接受手术的患者 (16名BAV,55名TAV) 的354个大动脉壁样本.
- 测量大动脉壁厚度,并评估其与扩张和人口因素的关系.
- 评估大动脉壁厚度降低的患者内变异性和风险因素.
主要成果:
- BAV患者的年龄明显较小 (54±16岁与66±11岁).
- 与TAV患者相比,BAV患者的大动脉壁厚度在前后两部分显著较薄.
- 大动脉扩张>51mm是BAV患者大动脉壁厚度严重减少的显著预测因素.
结论:
- BAV动脉动脉病患者在较早的年龄达到手术指示值.
- 由于显著的解剖变化,一旦大动脉扩张达到51mm,就需要对BAV患者进行强制性仔细监测.
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