对于老年患者的Carpentier功能分类类型II的退行性 mitrale regurgitation 的 mitrale 门修复:一个单一的中心体验
Masashi Kawamura1, Osamu Monta2, Shusaku Maeda2
1Department of Cardiovascular Surgery, Fukui CardioVascular Center, Shinbo 2-228, Fukui City, Fukui Prefecture, 910-0833, Japan. masashi.kmura@gmail.com.
Journal of cardiothoracic surgery
|February 8, 2024
概括
对于C-II mitra regurgitation的 mitra 门修复在老年患者中表现出类似的耐久性. 然而,70岁以上患者的复杂病变的复发率更高,这表明可能考虑进行门置换.
科学领域:
- 心血管外科心血管外科
- 心脏门疾病 心脏门疾病
- 老年心脏病学 老年心脏病学
背景情况:
- 对于卡潘蒂尔功能分类II型 (C-II) mitra regurgitation (MR) 的中枢 (MV) 修复是一个标准的程序.
- 与年轻患者相比,老年患者 (70岁以下) 的MV修复的疗效和益处仍然不太清楚,因为老年人群的预期寿命较低.
研究的目的:
- 评估对C-II MR的MV修复的中期结果.
- 具体评估MV修复在老年患者 (年龄在70岁以下) 的安全性和有效性,与年轻患者相比.
主要方法:
- 对176名接受C-IIMRM修复的患者进行了回顾性审查.
- 患者被分为两组:年龄在70岁以下 (n=55) 和年龄在70岁以下 (n=121).
- 结果包括免于重新手术和MR复发在各年龄组之间以及根据病变复杂性 (简单与复杂) 进行了比较.
主要成果:
- 在老年患者和年轻患者之间没有观察到重复手术或5年后MR复发率的显著差异.
- 在70岁以下的患者中,在简单和复杂的病变之间没有发现MR复发的显著差异.
- 然而,在70岁以下的患者中,复杂的关膜病变与与简单病变相比,在3年内MR复发率显著增加.
结论:
- 密特拉修复在老年人和患有C-II MR的年轻患者之间表现出可比的耐久性.
- 经过MV修复的复杂关膜病变的老年患者患有MR复发的风险更高.
- 对精心挑选的老年患者来说,对复杂的中枢损伤而言,中枢置换可能是一个可行的选择.
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