成年人的完全异常肺静脉连接:我们应该提供手术吗?
Vivek Bagaria1,2, Badragiri Lahari1, B R Jagannath1
1Department of Cardiothoracic and Vascular Surgery, Sri Sathya Sai Institute of Higher Medical Sciences, Bangalore, Karnataka, India.
World journal for pediatric & congenital heart surgery
|April 24, 2024
概括
成年人完全异常肺静脉连接 (TAPVC) 的手术修复是安全有效的,可显著降低肺动脉压力并改善生活质量. 大多数患者经历了良好的结果,并在手术后保持无症状.
科学领域:
- 心脏病学 心脏病学
- 胸部外科手术 胸部外科手术
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 患有全异常肺静脉连接 (TAPVC) 的成年人面临着独特的手术挑战.
- 了解长期的外科结果和肺动脉 (PA) 压力变化对于这个患者群体至关重要.
研究的目的:
- 为了评估被诊断为TAPVC的成年患者的外科治疗结果.
- 为了评估TAPVC的手术纠正后的肺动脉压力的回归.
主要方法:
- 对49名成人TAPVC患者的医院病历 (2003-2022) 的回顾性审查.
- 对手术结果的分析,包括PA压力,三腹吐和死亡率.
- 长期跟踪数据收集,以评估持续的结果.
主要成果:
- 手术后平均静脉动脉压的显著下降为47.9%.
- 从55.1%降低到6.1%的中度或严重的三腹吐.
- 没有手术后或30天死亡率;93.1%的患者在随访时无症状.
结论:
- 成人TAPVC的手术修复是一种安全的程序,具有良好的结果.
- TAPVC修复导致肺高血压的回归和改善功能性生活质量.
- 成年TAPVC患者可以获得良好的长期结果,并过上健康的生活,包括成功怀孕.
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