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在Fontan完成过程中对淋巴异常的连续MRI评估

Benjamin Kelly¹, Sheyanth Mohanakumar¹, Brooke Ford¹

¹From the Departments of Cardiothoracic Surgery (B.K.) and Radiology (S.M.), Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200 Aarhus N, Denmark; Division of Cardiology (B.K., B.F., C.L.S., E.P., Y.D.) and Department of Radiology (D.M.B.), Children's Hospital of Philadelphia, Philadelphia, Pa; and Department of Cardiothoracic Surgery, Copenhagen University Hospital-Rigshospitalet, Copenhagen, Denmark (V.E.H.).

Radiology. Cardiothoracic imaging

|May 30, 2024

概括

淋巴异常在单心室患者的Fontan完成后可能会恶化. 进展到高度淋巴问题与较差的结果相关,包括更长的康复和像胆胸这样的并发症.

科学领域:

心脏病学心脏病学
儿童心脏病学儿童心脏病学
医疗成像医学成像

背景情况:

单心室生理学在儿科心脏护理中提出了复杂的挑战.
芬坦手术是一种缓解单心室心脏缺陷的缓解手术.
淋巴异常是Fontan完成后的一个已知的并发症.

研究的目的:

评估在Fontan完成之前和之后淋巴异常的变化.
为了将淋巴图像检测结果与单心室患者的术后结果相关联.
用非对比性淋巴成像来调查淋巴异常的进展.

主要方法:

对非对比T2加权淋巴成像的回顾性审查.
包括单心室生理学患者在内,这些患者在Fontan前和Fontan后完成成像.
根据严重程度和位置将淋巴异常分为四种类型.

主要成果:

在Fontan完成后,在43名患者中的19名患者中,淋巴瘤异常进展.
进展至高度淋巴异常与术后排水和住院时间较长有关.
患有高度淋巴进展的患者患上胆胸部和蛋白质损失肠道病变的比例增加.

结论:

淋巴结构异常可以在一些单心室患者的Fontan完成后进展.
高度淋巴异常的进展与不良的术后结果有关.
非对比性淋巴成像对于评估这些变化和预测结果是有价值的.

关键词:

心血管磁力共振成像 (MRI) 的方法遗传性心脏病是一种先天性心脏病.这里是Fontan Fontan.格伦格伦格伦格伦格伦格伦格伦格伦格伦格伦淋巴细胞成像系统的成像

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