随着门节约性根部置换和同时进行的 mitra 修复后的长期结果
Maral Ouzounian1, Myriam Lafreniere-Roula1, Malak Elbatarny1
1Division of Cardiovascular Surgery, Peter Munk Cardiac Centre, Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada.
The Journal of thoracic and cardiovascular surgery
|March 8, 2024
概括
门节约性根部置换与 mitra 门修复显示出优异的长期存活率和低并发症率. 建议在接受这些大动脉和 mitra 门手术的患者进行持续监测.
科学领域:
- 心血管外科心血管外科
- 心脏外科手术的结果
- 大动脉根部手术
背景情况:
- 门节约根置换 (VSRR) 是对大动脉根动脉瘤复合门置换的替代方案.
- 同时进行的关修复通常与VSRR进行.
- 结合VSRR和中枢门修复的长期结果尚未得到充分证实.
研究的目的:
- 为了评估门节约性根置换和并发性 mitra 门修复的晚期临床结果.
- 为了评估存活率,重复手术率和门功能在联合大动脉和心心门手术后.
主要方法:
- 从1992年到2020年,对54名接受VSRR (再植入或重塑) 和中枢修复的患者进行前性随访.
- 平均随访时间为9年 (IQR,3-14年).
- 分析整体存活率,重新手术率和门功能通过心声回声学.
主要成果:
- 没有观察到术后死亡或中风.
- 15年总生存率为96.0%,与普通人群相比.
- 10年累计的重新操作率:大动脉11.4%,心心4.2%,其中一个或两个门11.4%.
- 估计15年中度/重度大动脉功能不全:18.5%;没有中度/重度的腹.
结论:
- 结合门节约根部置换和中枢修复,可以获得出色的临床结果.
- 在这个队列中观察到的死亡和门相关并发症的低风险.
- 在这些程序后,对门功能的长期监测至关重要.
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