在儿童中使用小册子扩张和亚部分性结婚整形术进行中枢门修复
Per Wierup1,2, Jens Johansson Ramgren1, Johan Sjögren2
1Department of Pediatric Heart Surgery, Skane University Hospital, Lund, Sweden.
JTCVS techniques
|February 14, 2024
概括
使用小册子扩展和聚四乙烯增强的儿科 mitra 门修复显示出有希望的结果. 这种新的技术提供了稳定的结果,并允许在患有 mitra regurgitation 的儿童中进行门生长.
科学领域:
- 心血管外科心血管外科
- 儿童心脏病学 儿童心脏病学
- 生物材料在医学中的应用
背景情况:
- 儿童中枢重建带来了独特的挑战,包括环状扩张,叶片限制和需要膜生长.
- 儿科患者严重的额头骨吐需要有效的手术解决方案,以解决这些特定的解剖和生理方面的考虑.
研究的目的:
- 介绍一个新的手术策略,用于小儿关修复.
- 评价使用自心周周和用聚四乙烯 (PTFE) 增强器进行亚部分性结婚整形术扩张小册子的疗效和安全性,用于儿童中腹.
主要方法:
- 在2014年1月至2021年5月期间,对11名儿科患者 (5个月至14岁) 进行回顾性分析,这些患者因严重的 mitra regurgitation 而接受了 mitra 门修复.
- 手术技术涉及使用自主心周和用PTFE增强的亚部分性结婚整形术扩张叶片.
- 中心的异常包括先天性形,术后泄漏和由于扩张性心肌病变的功能性反.
主要成果:
- 所有患者都在手术中幸存下来;一名患者因功能性狭窄症需要重新手术.
- 早期的术后结果显示,82%的患者的平均传导梯度为3.5 ± 3.9 mm Hg,并有微不足道的 mitra 反.
- 随访时间中位数为3年,所有患者都活着且无症状,心声回声检测结果稳定,82%的患者有微不足道或轻微的残留心肌吐.
结论:
- 用自性心周和用PTFE强化进行亚部分性结婚整形术的小册子扩张为儿科 mitrale regurgitation 提供了稳定和令人满意的早期和中间结果.
- 这种技术促进了儿科患者的关生长,解决了长期管理的关键方面.
- 描述的方法代表了一种可行的和有效的策略,用于复杂的米特拉修复在儿科人口.
相关概念视频
01:27Mitral Valve Prolapse I: Introduction
IntroductionThe mitral valve, one of the heart's four valves, regulates blood flow. These valves have flaps that open and close to direct blood properly through the heart and body. During each heartbeat, the flaps open for blood to pass through and seal shut to prevent backflow. Specifically, the mitral valve opens to allow blood flow from the heart's upper left chamber to the lower left chamber. It then closes securely as the lower left chamber contracts to pump blood to the body, preventing...
01:22Mitral Valve Prolapse II: Assessment and Management
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular tachycardia.
01:20Mitral Regurgitation I: Introduction
Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
01:25Mitral Regurgitation III: Medical Management
Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
01:22Mitral Stenosis I: Introduction
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
01:26Mitral Stenosis III: Medical Management
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...