双开关手术的结果在以前接受左心室再训练的患者中
L Mac Felmly1, Richard D Mainwaring1, Deborah Y Ho2
1Divisions of Pediatric Cardiac Surgery, Stanford Children's Hospital, Stanford, CA, USA.
World journal for pediatric & congenital heart surgery
|February 7, 2024
概括
在双开关手术前需要左心室 (LV) 重新训练的先天性纠正大动脉转移 (CC-TGA) 患者表现出色. 这项研究证实,在这些复杂的先天性心脏病病例中,97%的存活率和保存的LV功能.
科学领域:
- 心脏病学 心脏病学
- 儿童心脏病学 儿童心脏病学
- 生产性心脏手术 手术 生产心脏手术
背景情况:
- 大动脉的先天纠正转移 (CC-TGA) 呈现出各种各样的亚型.
- 一些CC-TGA患者需要左心室 (LV) 重新训练,因为心室隔膜缺陷 (VSD) 很小或不存在.
研究的目的:
- 评估CC-TGA患者的双重切换程序的临床结果,这些患者之前接受了LV再培训.
主要方法:
- 一个单一机构从2002年到现在的经验的回顾性审查.
- 对45名CC-TGA患者的分析,这些患者在LV再培训后进行了双重切换.
主要成果:
- 在45名患者中,没有发生住院死亡.
- 在30个月的中位数随访后,93%的幸存者具有正常或低正常的LV功能.
- 91%的幸存者没有或有微小的额头骨反.
结论:
- 在LV再培训后的双重切换程序与出色的早期和中期存活率 (97%) 有关.
- 这些患者的常见结果是维护LV功能和最小的额头骨吐.
- 在复杂的CC-TGA案例中,LV再培训后的双重切换提供了一个可行的策略.
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