上升至下降绕道对大动脉缩的晚期结果
Brett F Curran1, Hartzell V Schaff1, Heidi M Connolly2
1Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota.
The Annals of thoracic surgery
|November 8, 2024
概括
上升至下降的大动脉绕道是复杂的大动脉缩的安全和持久的程序,显示出优异的长期存活率和高血压的改善. 这种手术不会阻碍未来的胸切割手术.
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
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 上升到下降的大动脉绕道是复杂的大动脉缩的外科选择.
- 这个程序的长期结果以前是未知的.
研究的目的:
- 为了评估上升到下降的大动脉旁路在复杂的大动脉缩的成年患者的晚期结果.
- 评估手术的安全性和耐用性及其对全身高血压的影响.
主要方法:
- 对81名连续接受上升至下降大动脉旁路术 (1985-2012) 的患者进行分析,随访时间至少为10年.
- 包括患有复发性胸和同时进行心脏手术的患者.
- 评估生存率,移植通透性,需要重新干预和血压控制.
主要成果:
- 没有术后死亡率;20年生存率为85%,与一般人群相比.
- 没有绕道相关的死亡或干预;在晚期成像中没有显著的狭窄或伪动脉瘤.
- 系统性高血压改善,50%的患者在随访时没有或仅服用一种抗高血压药物.
结论:
- 上升至下降的大动脉绕道为成年人复杂的大动脉缩提供了卓越的长期安全性和耐用性.
- 该程序有效地管理全身高血压,并且不会影响未来的中枢骨切除手术.
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