患有单体心脏和单侧腹膜的儿童的肺血流
Tobias Kratz1, Lisa Gaukstern1, Walter Wiebe2
1Department of Paediatric Cardiology, University Hospital Bonn, Bonn, Germany.
Interdisciplinary cardiovascular and thoracic surgery
|January 12, 2024
概括
单侧腹膜 (DP) 患者格伦/丰坦循环显著减少肺动脉血流在受影响的一侧. 这一发现凸显了DP对这些复杂心脏病患者血流分布的负面影响.
科学领域:
- 心脏病学 心脏病学
- 儿童心脏病学 儿童心脏病学
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 在患有格伦/丰坦循环的患者中,自发呼吸极大地影响了肺动脉血流.
- 单侧腹膜 (DP) 是先天性心脏病的心脏手术后的一种已知的并发症.
研究的目的:
- 为了研究单边DP对肺动脉血流分布的影响.
- 分析患者的肺动脉中脑卒中体积指数 (SVI) 格伦/方丹循环和单边DP.
主要方法:
- 使用磁共振相位对比成像来评估SVI.
- 分析了18名患有单体心脏和单侧DP (格伦阶段:8,Fontan阶段:10) 的患者.
- 为了进行比较,纳入了36名格伦/方丹血液循环没有DP的患者的对照组.
主要成果:
- 与对照组相比,患有单边DP的患者在两侧肺动脉中表现出明显较低的SVI.
- 左侧DP显示SVI显著减少 (2.81毫升/米2) 与对照组 (11.97毫升/米2) 相比.
- 与对照组 (12.64 ml/m2) 相比,右侧DP也显示SVI降低 (8.2 ml/m2).
结论:
- 单边DP在Glenn/Fontan循环中对肺动脉SVI产生负面影响.
- 这些发现强调了隔膜功能在维持这些患者充足的肺血流方面的重要性.
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