五十年的Fontan缓解:我们学到了什么? 我们应该期待什么?
Adil Hassan1, Madhuradhar Chegondi2, Prashob Porayette3
1Department of Internal Medicine, University of Iowa, Iowa City, IA 52242, USA.
The Journal of international medical research
|November 1, 2023
概括
丰坦手术改善了生存率,但导致了常见的慢性健康问题,影响了多个器官. 本综述详细介绍了这些与Fontan相关的并发症以及单心室患者未来的治疗策略.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 遗传性心脏病是一种先天性心脏病.
- 心血管外科心血管外科
背景情况:
- 芬坦手术是一种缓解单心室缺陷的缓解手术,将静脉血液重新引导到肺部.
- 虽然提高了生存率,但Fontan循环导致了显著的长期并发症.
- 了解这些并发症对于患者管理至关重要.
研究的目的:
- 审查与Fontan手术相关的直接和晚期并发症.
- 讨论不同患者群体 (儿童,孕妇,成年人) 的Fontan相关并发症.
- 探索管理单心室生理学的未来技术进步.
主要方法:
- 这是一个叙事评论.
- 关于Fontan手术结果和并发症的文献搜索.
- 综合有关Fontan相关器官功能障碍的当前知识.
主要成果:
- 经过Fontan手术后的生存率有所改善.
- 常见的慢性并发症会影响肝脏,肺,肠道,淋巴系统,大脑和血液.
- 心脏功能障碍和心律失常是常见的后果.
结论:
- 与Fontan相关的并发症很普遍,影响多个器官系统.
- 对于患有Fontan循环的患者,持续的监测和管理是必不可少的.
- 未来的外科和医学进步可能会改变单心室患者的长期护理.
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