对双主动脉功能障碍进行大动脉根置换不会影响存活率.
Onur B Dolmaci1, Ninieck E van Maasakker1, Robert E Poelmann2
1Department of Cardiothoracic Surgery, Amsterdam University Medical Center, Amsterdam UMC, location AMC Meibergdreef 9, Amsterdam, 1105 AZ, the Netherlands.
Journal of cardiothoracic surgery
|October 1, 2024
概括
对于需要手术的双主动脉患者,主动脉根置换提供了与隔离主动脉置换相似的生存结果. 这表明,更积极的外科手术方法可能有助于预防未来的大动脉并发症.
科学领域:
- 心血管外科心血管外科
- 大动脉膜疾病 大动脉膜疾病
- 遗传性心脏缺陷 遗传性心脏缺陷
背景情况:
- 双大动脉 (BAV) 患者由于大动脉壁异常,患上上升大动脉动脉瘤的风险增加.
- 在BAV患者中,可以考虑对大动脉手术进行较低的门,特别是那些需要大动脉手术的患者.
研究的目的:
- 为了比较隔离性大动脉置换 (AVR) 与大动脉根置换在接受大动脉手术的BAV患者中的结果.
主要方法:
- 在BAV患者中对选择性AVR或复合-移植管道程序 (2006-2021) 的回顾性研究.
- 国家数据库用于死亡率数据检索;进行生存分析以进行群体之间的比较.
主要成果:
- 分析了132个孤立的AVR和149个大动脉根置换.
- 接受隔离AVR的患者年龄较大 (62.9岁对57.7岁).
- 隔离AVR和大动脉根置换组之间的长期死亡率是可比的 (8.1%和9.1%).
结论:
- 在BAV患者中,大动脉根置换不会对生存结果产生负面影响.
- 在这种高风险组中,可以考虑对BAV大动脉损伤采取更积极的外科手术方法,以防止未来的大动脉并发症.
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