八十多岁的中枢门手术:长期和血液动力学结果
Nicholas M Fialka1, Ryaan El-Andari1, Abeline Watkins2
1Division of Cardiac Surgery, Department of Surgery, University of Alberta, Edmonton, AB, Canada.
The Journal of cardiovascular surgery
|September 30, 2024
概括
对八十岁的人来说,心脏门手术是安全有效的,尽管长期患病率相当高,但它显示出积极的心脏重塑和合理的存活率. 这项研究支持在老年人群中进行MV手术.
科学领域:
- 心血管外科心血管外科
- 老年心脏病学 老年心脏病学
- 心脏门干预 心脏门干预
背景情况:
- 八代人经常因为高风险而被排除在 mitra 门手术之外.
- 在接受心脏手术的老年患者中,人们普遍担心术后发病率和死亡率.
研究的目的:
- 评估八十多岁患者中中门修复 (MVr) 和中门置换 (MVR) 的结果.
- 评估MV手术在80岁及以上的个体中的安全性和有效性.
主要方法:
- 对139名年龄在80-90岁的患者进行了回顾性分析,这些患者在2004-2018年期间接受了MVR或MVr.
- 延长后续期长达15.8年,以评估长期结果.
主要成果:
- 中心置换 (MVR) 显示30天,1年,5年,10年死亡率分别为7%,14%,36.3%和61.8%.
- 中心修复 (MVr) 显示死亡率较低,为1.9% (30天),7.6% (1年),22.5% (5年) 和55.5% (10年).
- 手术后观察到左心室内直径的显著减少,腹痛 (LVIDd) 和左心室 (LA) 体积指数显著减少,这表明心脏重塑是积极的.
结论:
- 八十多岁的中枢门手术与低的术后发病率和合理的晚期存活率有关.
- 该程序导致左心房和左心室的积极改造.
- 这些发现支持了在八十岁以上的人群中对 mitra 门手术的相对安全性和有效性.
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