一个15年的经验与越南的完全异常的肺静脉连接
Le-Thanh Q Dinh1, Giang T C Do2, Thoi K Ngo1
1Cardiac Surgery Department, Children's Hospital 1, Ho Chi Minh City, Vietnam.
World journal for pediatric & congenital heart surgery
|January 24, 2024
概括
这项研究详细介绍了261例异常肺静脉连接 (TAPVC) 病例的形态,揭示了各种亚型和19.5%的住院死亡率. 结果提供了关于亚洲儿科患者TAPVC表现的见解.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 胸部外科手术 胸部外科手术
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 总异常肺静脉连接 (TAPVC) 是一种严重的先天性心脏缺陷.
- 了解TAPVC形态对于手术规划和结果至关重要.
- 这项研究重点关注来自单一中心的大量TAPVC病例队列.
研究的目的:
- 阐明各种全异常肺静脉连接 (TAPVC) 亚型的形态特征.
- 分析与不同TAPVC形态相关的手术发现和住院死亡率.
- 提供亚洲儿科人口中TAPVC表现的数据.
主要方法:
- 对2008年至2023年6月期间进行的261例TAPVC手术病例的手术方案的回顾性审查.
- 形态描述基于手术团队的手术内发现.
- 将TAPVC分为心脏上,心脏内,心脏下和混合类型.
主要成果:
- 总共分析了261名TAPVC患者:其中124名 (47.5%) 是上方的,83名 (31.8%) 是内方的,41名 (15.7%) 是内方的,13名 (5%) 是混合的.
- 总体而言,住院死亡率为19.5% (51/261). 在TAPVC上方有33.9%的阻塞;在TAPVC内有10.8%的阻塞;在TAPVC下有61%的阻塞.
- 常见的排水模式包括无名静脉 (supra),冠状动脉鼻腔 (intra) 和右心房 (intra).
结论:
- 该研究强调了在外科实践中遇到的TAPVC亚型的多样性形态.
- 观察到显著的阻塞率,特别是在TAPVC下.
- 这项研究为亚洲儿科患者相关的TAPVC形态提供了宝贵的见解.
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