青春期超心脏总异常肺静脉连接
Firdoos Ahmad Mir1, Satyapriya Mohanty2, Arvind Pandey3
1Cardiothoracic Surgery, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, IND.
Cureus
|November 29, 2023
概括
在青少年中,手术修复心脏上总异常肺静脉连接 (TAPVC) 产生了很好的结果. 生存取决于解剖学因素,强调需要广泛的外科解剖,以实现无障碍的肺静脉回归.
科学领域:
- 心脏病学 心脏病学
- 遗传性心脏病是一种先天性心脏病.
- 胸部外科手术 胸部外科手术
背景情况:
- 超心全异常肺静脉连接 (TAPVC) 是一种罕见的先天性心脏异常.
- 大多数病例在婴儿期被诊断和修复;青少年的延迟呈现不常见.
- 青少年心脏上升TAPVC的手术结果没有得到充分的记录.
研究的目的:
- 为了确定青少年心脏上升TAPVC的临床表现.
- 为了评估这种罕见的亚组中心脏上 TAPVC 修复的手术结果.
- 确定影响生存和手术成功的因素.
主要方法:
- 对15名患有心脏上升TAPVC的青少年患者的回顾性分析.
- 在2010年至2014年期间在印度的第三级护理中心进行的手术修复.
- 对手术内,手术后和长期结果的评估.
主要成果:
- 患者呈现出色,呼吸道感染和呼吸障碍.
- 平均氧和率为92%;平均肺动脉压力为24mmHg.
- 优秀的短期和一年的随访结果没有动脉梯度;33.3%的患者经历了早期的术后心房动.
结论:
- 在青春期手术修复心脏上TAPVC提供了很好的结果.
- 青春期的生存依赖于垂直静脉扩张和大心房隔膜缺陷.
- 宽,比索引 mitra 口更大,对于最佳的术后血动力学至关重要.
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