动脉和动脉手术在患有双柱动脉,有或没有拉菲的患者
Michele Bellino1, Francesco Antonini-Canterin2, Eduardo Bossone3
1Department of Medicine, Surgery and Dentistry, University of Salerno, Baronissi, Italy.
International journal of cardiology
|April 1, 2024
概括
双主动脉 (BAV) 患有拉菲的患者表现出中度至重度的大动脉狭窄和大动脉损伤的增加. 拉菲存在预测三年内大动脉门手术的风险更高.
科学领域:
- 心脏病学 心脏病学
- 心血管成像 - 心血管成像
- 膜心脏疾病 膜心脏疾病
背景情况:
- 双动脉 (BAV) 是一种常见的先天性心脏缺陷.
- 在大动脉上,一个叫做拉菲 (Raphae) 的脊,是BAV的常见发现.
- 拉菲在BAV患者的临床意义需要进一步调查.
研究的目的:
- 为了评估RAPHE在BAV患者和门功能障碍之间的关联.
- 评估BAV中拉菲和主动动脉病之间的联系.
- 为了确定拉菲是否预测需要进行大动脉门手术.
主要方法:
- 分析来自REBECCA注册表的数据.
- 拉菲和没有拉菲的BAV患者的比较.
- 评估大动脉功能障碍 (狭窄/吐) 和大动脉病患病率.
- 多变量分析以确定主动脉手术的预测因素.
主要成果:
- 分析了695名BAV患者; 74.8%的人有拉菲.
- 患有拉菲的患者表现出明显更高的中度至重度大动脉狭窄率.
- 大动脉损伤,特别是B型 (根和上升的大动脉扩张),在拉菲患者中更为普遍.
- 在三年随访期间,Raphe是大动脉门手术的独立预测者.
结论:
- 拉菲的BAV患者表现出显著的大动脉狭窄和大动脉损伤的更高患病率.
- 拉菲与接受大动脉门手术的风险增加有关.
- 这些发现凸显了拉菲在BAV管理中的临床重要性.
更多相关视频
相关概念视频
Mitral 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...
Aortic Regurgitation I: Introduction
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
Aortic Regurgitation III: Medical Management
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
Aortic Regurgitation IV: Nursing Management
A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...
Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...


