弥补心肌缺陷的治疗方法
Akhil Rao1, Emily Shih2, Wilson Szeto1
1Division of Cardiovascular Surgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania.
The Annals of thoracic surgery
|June 3, 2024
概括
在专门的中心中,中枢重修显示了可接受的结果. 需要进一步的研究来证实重复中膜修复手术的长期耐用性和功能益处.
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
- 心脏门维修 心脏门维修
背景情况:
- mitra 门修复提供了比初级 mitra 回更换更好的结果.
- 在初始修复失败后重复中枢门修复的有效性尚未得到充分确立.
- 本研究评估了一项策略的结果,该策略包括在以前的修理中失败后重新修复 mitra .
研究的目的:
- 为了评估经过重复的 mitra 门修复的患者的临床和心声学结果.
- 为了确定在之前的修复尝试后,米特拉再修复的可行性和安全性.
主要方法:
- 从2008-2021年对机构数据库的回顾性审查.
- 在初始膜修复后进行了重复膜修复的患者的鉴定.
- 对手术细节,临床结果和心声回声数据的分析.
主要成果:
- 71名患者经历了心心膜重置手术,平均是在初始修复后6.24年.
- 记录了0例早期死亡和8例晚期死亡;3名患者需要在修复后进行心肌置换.
- 20%的患者在手术前出现了纽约心脏协会功能级III或IV症状.
结论:
- 在经验丰富的中心,可以在短期内获得可接受的结果,对中枢进行再修复是可行的.
- mitra 重修的长期耐用性和功能优势需要进一步研究.
- 重复的中枢门修复可能是一个可行的选择,选择的患者之前的修复失败.
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