胸腔导管排水模式在异质毒性中
Daniel A Castellanos1, Emily M Bucholz2, Katherine Bai3
1Department of Cardiology, Boston Children's Hospital, Boston, MA, United States; Department of Pediatrics, Harvard Medical School, Boston, MA, United States.
概括
胸腔导管 (TD) 排水在异质性中非常可变. 上腔静脉和大动脉侧面性是这些先天性心脏病患者TD侧面性的关键预测因素.
科学领域:
- 心血管成像 - 心血管成像
- 胸部解剖学 胸部解剖学
- 淋巴体生理学 淋巴体生理学
背景情况:
- 淋巴排水障碍在先天性心脏病 (CHD) 中很常见.
- 异质的胸管 (TD) 排水模式还没有很好地定义.
- 了解TD解剖学对于管理CHD的淋巴并发症至关重要.
研究的目的:
- 在异质毒性患者中描述终端TD侧面性.
- 为了识别与TD侧面性相关的解剖变量在heterotaxy.
- 为了提高对复杂心脏病的淋巴体解剖学的理解.
主要方法:
- 回顾性心血管磁共振成像研究 (2019年7月-2023年5月).
- 包括患有阿斯普莱尼亚,多斯普莱尼亚或肺/腹部逆位 (PASI) 以及心血管疾病的患者.
- 评估终端TD侧面性 (左,右或双边).
主要成果:
- 终端TD可视化在115名 (49%) 符合条件的患者中56名.
- TD是左侧的 (25),右侧的 (29) 或双边的 (2).
- 在多变量分析中,上腔静脉和大动脉侧面性独立与终端TD侧面性相关.
结论:
- 终端TD侧面性在异质毒性中表现出显著的变异性.
- 上腔静脉和大动脉侧面性是TD侧面性的独立预测因素.
- 这些发现有助于更好地理解异质体解剖学,并有助于进行淋巴干预计划.
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