对埃布斯坦异常的修改形重建在单个中心的儿科患者的长期结果
Ilkun Park1, Tae-Gook Jun2, Ji-Hyuk Yang1
1Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Korean circulation journal
|January 10, 2024
概括
为埃布施泰因改造的形重建.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 生产性心脏病 手术 手术 生产性心脏病
- 心脏成像和心声成像.
背景情况:
- 埃布斯坦异常是一种罕见的先天性心脏缺陷,影响三管.
- 手术修复通常是解决门功能障碍和右心脏问题的必要.
研究的目的:
- 为了评估长期的临床和心声回声结果后修改的形重建埃布斯坦的异常在儿科患者.
- 具体评估三管的耐用性,环状生长和左心室重塑.
主要方法:
- 对为埃布斯坦异常进行修改形重建的儿科患者的回顾性分析.
- 从2005年1月到2021年6月在单一的高等教育中心收集的数据.
- 包括临床数据和回声心脏学参数,长达10年的随访.
主要成果:
- 在14名儿科患者的10年随访期间,没有死亡率,心律不整或心力衰竭再入院.
- 三管的功能仍然很好,没有显著的狭窄或术后吐.
- 手术后三环形大小z值显著降低,维持在1-7年之间.
- 左心室体积和中风体积在手术后持续增加.
结论:
- 经过修改的形重建是儿科埃布斯坦异常的安全和有效的外科选择.
- 该程序证明了有利的长期三管的耐用性,并促进了适当的环状生长.
- 观察到积极的左心室反向重塑,有助于改善心脏功能.
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