在婴儿期以后,普通动脉干修复的外科结果
Chinnaswamy Reddy1, Ameya Kaskar1, Govardhan Reddy1
1Department of Cardiothoracic Surgery, Narayana Institute of Cardiac Sciences, Narayana Health, #258/A, Bommasandra Industrial Area, Anekal Taluk, Bangalore, 560099 Karnataka India.
Indian journal of thoracic and cardiovascular surgery
|December 21, 2023
概括
在婴儿期之后,常见的动脉干修复具有挑战性,但可行. 这项研究表明,接受这种复杂的手术的患者的早期和晚期结果令人满意,包括生存率和再干预率.
科学领域:
- 儿科心脏手术 儿科心脏手术
- 遗传性心脏病是一种先天性心脏病.
- 手术结果研究研究.
背景情况:
- 常见动脉干 (CAT) 是一种罕见的先天性心脏缺陷.
- 在婴儿期以外的外科修复带来了独特的挑战.
- 了解长期结果对于患者管理至关重要.
研究的目的:
- 分析常见动脉干修复的早期和长期临床结果,在婴儿期以后出现的患者中.
- 确定影响该群体早期死亡的因素.
- 评估长期生存和免于重新干预和并发症.
主要方法:
- 在婴儿期之后接受CAT修复的56名患者的回顾性分析 (2003年1月 - 2019年12月).
- 收集的数据包括患者人口统计,CAT类型,手术技术和早期/晚期结果.
- 进行了统计分析,包括无变量分析,以确定影响死亡率的因素.
主要成果:
- 早期死亡率为7%. 影响早期死亡的因素包括年龄,体重,通风持续时间和肺高血压危机.
- 在10年后,整体存活率为76.7%.
- 对右心室外流通道重建的重新干预的自由率为89.7%,对显著的干回的自由率为66.3%.
结论:
- 在婴儿期之后,修复常见动脉干是手术上具有挑战性的.
- 可以实现令人满意的早期和晚期结果,包括可接受的死亡率和重新干预率.
- 这种方法为婴儿期以外的患者提供了可行的选择.
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