对于严重的功能性三角管吐的右心室乳头肌肉近似的中期结果
Chihiro Ito1, Hiroki Kohno1, Kaoru Matsuura1
1Department of Cardiovascular Surgery, Chiba University Graduate School of Medicine, Chiba, Japan.
概括
右心室乳头肌近似测试 (RV-PMA) 是三角管解剖手术的安全有效的附加技术. 中期结果显示,功能性三回和右心室尺寸持续改善.
科学领域:
- 心血管外科心血管外科
- 心脏外科手术 心脏外科手术
- 干预心脏病学 干预心脏病学
背景情况:
- 经过三管解剖手术后三管反 (TR) 的复发与右心室扩张和叶片结合有关.
- 右心室乳腺肌肉近似 (RV-PMA) 是一种新的技术,旨在通过传单连接来解决功能TR.
研究的目的:
- 评估RV-PMA技术的中期结果.
- 为了评估RV-PMA在功能性三管吐患者中的持久性.
主要方法:
- 在20名患有高级功能性TR和严重的叶片绑定 (叶片绑定>8毫米和/或RV终端透缩直径>45毫米) 的患者中应用了RV-PMA.
- 患者在出院前接受了心声回声监测,然后每年进行一次.
主要成果:
- 没有观察到术后死亡率.
- 放出后心声图显示,在85%的患者中,TR降至轻度或更低.
- 实现了右心室端透气直径 (53-45毫米) 和结合高度 (11.1-4.4毫米) 的显著改善.
- 在中位数3年随访期间,TR在80%的病例中保持温和或小.
结论:
- RV-PMA是一种安全有效的辅助技术,用于三管解剖.
- 该RV-PMA技术在管理功能性三腹吐方面表现出耐用性.
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