最佳窗体尺寸对高风险Fontan患者的结果的影响
Koji Miwa1, Shigemitsu Iwai1, Tomomitsu Kanaya1
1Department of Cardiovascular Surgery, Osaka Women's and Children's Hospital, Izumi, Osaka, Japan.
World journal for pediatric & congenital heart surgery
|October 30, 2023
概括
窗户式的Fontan程序可以使用.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 生产性心脏病 手术 手术 生产性心脏病
- 丰田程序的结果
背景情况:
- 芬坦手术是复杂的单心室先天性心脏缺陷的缓解手术.
- 窗有时是为了改善高风险患者的治疗结果而创建的.
- 中期结果和窗户大小的影响需要进一步分析.
研究的目的:
- 分析Fontan程序的中期结果.
- 为了研究 fenestration 尺寸和临床结果之间的关系.
- 为了确定高风险儿科患者的最佳窗体大小.
主要方法:
- 165名接受Fontan手术 (2011-2021) 的患者的回顾性审查.
- 在27名高风险患者中创建了窗口 (例如,低可塑性左心综合征,高肺血管阻力).
- 对窗格大小的分析,包括按身体表面积的正常化,以及与结果的相关性.
主要成果:
- 在一年内,在9名患者中发生了自发的窗体关闭,其中3人需要重新干预.
- 较小的窗 (根据身体表面积进行校正) 与自发关闭有关.
- 较大的窗 (>9mm/m2) 与严重的脱和需要家庭氧气治疗相关.
结论:
- 自发的窗户关闭影响了Fontan的并发症率.
- 窗户的尺寸,特别是当对身体表面积进行校正时,是一个关键因素.
- 约为8毫米/平方米的最佳窗体尺寸可以防止早期关闭和严重脱.
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