在Takayasu动脉炎患者的大动脉手术的结果
Defne Gunes Ergi1, Hartzell V Schaff1, Alberto Pochettino1
1Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn.
The Journal of thoracic and cardiovascular surgery
|February 7, 2024
概括
在接受主动脉手术的高雅苏动脉炎患者中,最常见的是上升主动脉动脉瘤和主动脉吐. 对于这些患者来说,手术结果是安全和可接受的,具有良好的长期生存率.
科学领域:
- 心血管外科心血管外科
- 类风湿病学 类风湿病学
- 血管医学 血管医学
背景情况:
- 塔卡亚苏动脉炎是一种罕见的,慢性炎症性疾病,影响大动脉,主要是大动脉.
- 高雅山动脉炎中大动脉的参与可能导致动脉瘤,剖析和严重的门功能障碍,往往需要手术干预.
- 了解具体的表现和手术结果对于管理这些复杂的患者至关重要.
研究的目的:
- 在需要大动脉手术的患者中研究高山氏动脉炎的临床表现.
- 分析大动脉干扰的程度和进行的外科手术的类型.
- 评估短期和长期的外科治疗结果,包括死亡率和重新手术率.
主要方法:
- 对外科手术数据库进行了回顾性审查.
- 鉴定了在1994年至2022年间接受了主动脉手术的被诊断为高山氏动脉炎的患者.
- 分析了临床数据,手术细节和随访结果.
主要成果:
- 31名塔卡亚苏动脉炎患者接受了大动脉手术,主要是女性 (87%),平均年龄为35岁.
- 最常见的表现是上升大动脉动脉瘤 (71%) 和严重的大动脉吐 (55%). 上升大动脉置换 (65%) 和大动脉置换 (55%) 是最常见的手术.
- 早期死亡率为6.5%,10年生存率为86.7%. 在10年后,无需重新操作的自由率为77.5%.
结论:
- 上升性大动脉动脉瘤和大动脉反是需要大动脉手术的高雅苏动脉炎患者的主要表现.
- 对高雅苏动脉炎的大动脉手术与可接受的早期和晚期结果有关.
- 这些发现支持外科手术作为一项安全有效的治疗选择,用于因塔卡亚苏动脉炎而导致主动脉疾病的选定患者.
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