侧侧心房隔膜缺陷关闭与诱导的心室动相比心性停止
Henning Carstens1, Daniel Biermann1, Jörg Sachweh1
1Department of Congenital and Pediatric Heart Surgery, Children's Heart Clinic, University Heart & Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Interdisciplinary cardiovascular and thoracic surgery
|October 1, 2024
概括
对心房隔膜缺陷 (ASD) 的最小侵入性关闭在儿科患者中是安全有效的. 这种通过胸切除术进行的方法,无论使用心脏骤停还是动,都显示了可比的结果.
科学领域:
- 心血管外科心血管外科
- 儿童心脏病学 儿童心脏病学
- 最少侵入性手术的方法
背景情况:
- 越来越多地采用微创手术关闭心房隔膜缺陷 (ASD).
- 程序可以使用诱导心脏骤停或心房动进行.
研究的目的:
- 通过侧侧胸切除术来评估经过微创性ASD关闭的儿科患者的单中心结局.
- 为了比较在诱导心脏骤停和心房动期间接受手术的患者之间的结果.
主要方法:
- 从2019年3月到2022年8月连续37名儿科患者的回顾性分析.
- 这种手术是通过右胸部切除术 (right midaxillary thoracotomy) 进行的一次切口手术.
- 患者分为心脏骤停和心脏动组.
主要成果:
- 在这两组中都没有观察到死亡率或显著的术后发病率.
- 纤维化组的心肺绕道时间较短 (34.7分 vs 52.6分,P=0.01).
- 可比较的重症监护室停留时间;心脏骤停组的住院时间较长 (5.6天 vs 4.9天,P=0.04).
结论:
- 至少侵入性ASD关闭在儿科患者中是安全的.
- 在心房动期间的结果与诱导心脏骤停相当.
- 这种技术为ASD修复提供了可行的替代方案.
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