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重置性大动脉根手术:单中心的长期结果和文献综述

Giacomo Murana¹, Valeria Santamaria¹, Chiara Nocera¹

¹Division of Cardiac Surgery, Cardiac Surgery Department, IRCCS, Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.

Journal of thoracic disease

|July 10, 2024

概括

重置性大动脉根手术具有高风险,但经验丰富的外科医生可以得到令人满意的结果. 我们的中心我们的中心

科学领域:

心血管外科心血管外科
胸部外科手术胸部外科手术
心脏外科手术心脏外科手术

背景情况:

重置性大动脉根手术越来越常见,并且比初级手术具有更高的风险.
与首次手术相比,复手性大动脉根手术的结果通常更差.
本综述综合了当前的文献,并介绍了对再手术大动脉根手术的机构经验.

研究的目的:

审查关于重置性大动脉根手术的现有文献.
分析患者群体,手术指示和文献中报道的结果.
介绍我们机构的重置性大动脉根手术的经验和结果.

主要方法:

进行了全面的文献审查,以确定相关研究.
分析了12项研究的数据,包括16627名患者.
研究人员审查了1986年至2022年间接受重复性大动脉根手术的344名患者的机构数据.

主要成果:

文献表明内心炎,动脉瘤,剖析和伪动脉瘤是重复手术大动脉根手术的主要征兆.
在文献审查中,住院死亡率为12%,平均心肺绕道 (CPB) 和十字时间为218分钟和152分钟.
在我们的机构,大动脉根扩张是主要指示 (36.9%),9.6%的住院死亡率,76.1%的5年生存率和88.1%的5年无需重新干预.

结论:

重置性大动脉根手术是一种复杂的手术,与初级手术相比,死亡率更高.
有经验丰富的手术团队和精心的手术前规划可以获得令人满意的结果.
虽然整体结果是可以接受的,但内心炎作为一种适应症与较差的结果有关.

关键词:

大动脉根的动脉根.班塔尔的行动是本塔尔的行动.结果就是结果.重复手术是重复的手术.重新运营,重新运营.

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