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与此同时进行主动脉置换和右冠状动脉旁路移植的右侧微型胸腔切除术

Chloé Bernard¹, Olivier Bouchot¹, Ghislain Malapert¹

¹Department of Cardiovascular and Thoracic Surgery, Dijon University Hospital, Dijon, France.

Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy

|November 8, 2024

概括

使用右前胸切除术治疗大动脉狭窄和右冠状动脉疾病的最小侵入性手术是有效的. 这种方法为精选的患者提供了可靠的切口术替代方案,没有30天死亡率.

科学领域:

心血管外科心血管外科
最少侵入性心脏外科手术
胸部外科手术胸部外科手术

背景情况:

传统的胸腔切除术是联合主动脉和 mitra 门手术的标准.
最少侵入性的方法在门外科手术中显示出优势.
右冠状动脉疾病经常与大动脉狭窄共存.

研究的目的:

评估最小侵入性大动脉置换与右冠状动脉旁路移植相结合的可行性和结果.
报告对这项联合手术的右前胸切除术方法的经验.
评估该技术的安全性和可重复性.

主要方法:

通过右前胸切除术进行了17名患者的回顾性审查,这些患者接受了联合的大动脉置换和右冠状动脉旁路移植.
收集的数据包括患者人口统计数据,手术时间,管方法,移植类型和术后结果.
超声波流量测量用于评估大多数患者的移植透度.

主要成果:

患者的平均年龄为73.3岁,平均EuroSCORE 2值为2.07,患者的平均年龄为73.3岁.
平均心肺绕道和大动脉十字时间分别为148分钟和111分钟.
没有观察到30天死亡率,只有两名患者患有1级大动脉缺陷.

结论:

通过右前胸切除术进行联合的大动脉置换和冠状动脉旁路移植是一种可靠和可重复的选择.
这种最少的侵入性方法适用于被选中的患有大动脉狭窄症和同时出现的右冠状动脉疾病的患者.
该技术在早期表现出良好的结果,支持其作为切口术替代品的使用.

关键词:

最少的侵入性手术是最少的侵入性手术.大动脉门更换术结合手术手术是什么意思冠状动脉旁路移植右侧胸腔切除术 (Right Thoracotomy) 是一个切除术.

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