在外科手术中出现 mitra 门脱落时的 mitra 环形断裂:患病率,特征和结果
Rhys Gray1, Praveen Indraratna2, Gregory Cranney2
1Department of Cardiology, Prince of Wales Hospital, Sydney, NSW, Australia. rhys_gray@hotmail.com.
Echo research and practice
|November 8, 2023
概括
mitra annular disjunction (MAD) 是常见的 mitra 门脱落 (MVP) 手术患者,影响近三分之一. 虽然MAD不会阻碍修复,但手术后心律失常的风险更高,因此需要进一步的监测研究.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 心血管成像 - 心血管成像
背景情况:
- 有限的数据存在于患者的结果与腹脱落 (MVP) 和腹环形断裂 (MAD) 后腹手术.
- 未回答的问题包括MAD持久性,对门修复的影响以及手术后心律失常的发生率.
研究的目的:
- 调查MAD在接受米特拉手术的MVP患者中的患病率,成像特征和临床关联.
- 评估术后结果,包括MAD持久性,心律失常事件和死亡率.
主要方法:
- 对111名连续接受MVP心肌门手术的患者进行了回顾性分析.
- 评估MAD患病率,患者人口统计,并发症和手术结果.
- 3.91年后的随访,以评估手术后的事件.
主要成果:
- MAD在28.8%的患者中存在,这些患者年轻,更可能是女性,并且具有特定的传单和落特征.
- 在90.6%的MAD阳性患者中,米特拉修复成功,没有手术后的MAD持续性.
- 在MAD组中,术后心室失常率较高 (28.13%对11.69%),但死亡率和再入院率相似.
结论:
- mitra annular disjunction (MAD) 是一个常见的发现,在 mitra 门缩 (MVP) 手术中.
- MAD不妨碍米特拉的手术修复或更换,并且不会显著影响手术后的结果.
- 需要进一步的研究来确定MAD的MVP患者是否需要进行术后心律失常监测.
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