在接受米特拉和大动脉置换的患者中大动脉根扩大:撒哈拉以南地区人口的早期结果
Charles Mve Mvondo1,2,3, Carole Tchokouani Djientcheu4, Laurence Carole Ngo Yon2,3
1St Elizabeth Catholic General Hospital Shisong, Cardiac Centre Shisong, Kumbo, Cameroon.
Frontiers in cardiovascular medicine
|November 9, 2023
概括
在年轻患者中,大动脉根扩大 (ARE) 结合双置换 (DVR) 并没有增加手术后的死亡率. 这种方法可以安全地用于预防儿科和成人群体的患者假肢不匹配 (PPM).
科学领域:
- 心脏外科手术 心脏外科手术
- 大动脉门维修
- 假肢植入植入植入植入植入植入植入
背景情况:
- 大动脉根扩大 (ARE) 在接受大动脉手术的年轻患者中通常是必要的,特别是联合关和大动脉置换 (DVR),以防止患者假肢不匹配 (PPM).
- 将ARE与DVR相结合可能会增加由于手术时间延长而导致的手术风险.
研究的目的:
- 评估执行大动脉根扩大 (ARE) 与双置换 (DVR) 结合的安全性和结果.
- 评估ARE对手术死亡率和其他临床参数的影响,在接受DVR的患者中.
主要方法:
- 在2008年2月至2021年11月期间接受DVR的69名患者的回顾性评估.
- 患者被分为两个组:ARE-DVR (25名患者) 和单独的DVR (44名患者).
- 对人口统计,临床和手术数据的比较分析,包括手术死亡率和心声回声随访.
主要成果:
- 在ARE-DVR组的患者显着更年轻 (23.3岁对28.5岁).
- 大动脉交叉紧的持续时间在ARE-DVR组中较长 (177.6分 vs. 148.3分).
- 整个队列的手术死亡率为5.6%,ARE-DVR (8%) 和DVR (4.5%) 组之间没有显著差异 (p=0.46).
结论:
- 将大动脉根扩大 (ARE) 添加到双置换 (DVR) 中并没有显著增加手术死亡率.
- 对于减轻患者与假肢不匹配 (PPM),特别是在具有增长潜力的年轻患者中,可以安全使用ARE.
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