双动脉疾病:分类,治疗方法和新兴的跨导管模式
Ankur Kalra1, Rajiv Das2, Mohammad Alkhalil2
1Department of Cardiology, Franciscan Health, Lafayette, Indiana, USA.
Structural heart : the journal of the Heart Team
|January 29, 2024
概括
双主动脉 (BAV) 是一种常见的先天性心脏缺陷. 本综述涵盖了新的BAV分类,并对症状BAV患者的手术和透管治疗进行了比较.
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.
- 膜心脏疾病 膜心脏疾病
背景情况:
- 双动脉 (BAV) 是一种常见的先天性心脏缺陷.
- BAV可以导致早期的大动脉膜疾病和大动脉病变.
- 通过导管的大动脉置换 (TAVR) 越来越多地用于年轻的症状BAV患者.
研究的目的:
- 审查新的BAV分类系统.
- 检查BAV的当代外科和透导管方法.
- 评估接受TAVR的BAV患者的临床结果.
主要方法:
- 关于新型BAV分类系统的文献综述.
- 对BAV的当代外科手术技术的分析.
- 在BAV患者中对过导管大动脉置换 (TAVR) 的评估.
- 在接受TAVR的BAV和三主动脉狭窄患者之间的结局的比较.
主要成果:
- 在接受TAVR的BAV患者中,程序技术和临床结果得到了改善.
- 尽管随机试验证据有限,TAVR在较年轻的症状BAV患者中显示出良好的临床结果.
- 与TAVR后的三大动脉狭窄患者相比,BAV患者的结果可能不同.
结论:
- 新的BAV分类正在出现.
- 对BAV的手术和透导管选择正在发展.
- 需要进一步的研究,包括随机试验,以优化BAV中的TAVR.
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