大动脉根置换后的重新操作及其对长期存活的影响
Elizabeth L Norton1, Parth M Patel1, Yanhua Wang2
1Division of Cardiothoracic Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, Ga.
JTCVS open
|November 13, 2024
概括
大动脉根替代术 (ARR) 后的重新操作不常见,为4.8%. 然而,接受第二次大动脉根手术会增加晚期死亡的风险,这凸显了仔细选择患者和手术技术的重要性.
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
- 大动脉外科手术
背景情况:
- 大动脉根替代术 (ARR) 后的再操作存在重大挑战.
- 了解重新手术率和结果对于改善患者护理至关重要.
研究的目的:
- 评估大动脉根置换患者的临床结果和重新手术率.
- 为了确定与ARR后重新操作相关的风险因素.
主要方法:
- 2004年至2021年间接受ARR的1826名成年患者的回顾性分析.
- 患者被分为重复手术 (REDO) 和无重复手术 (无REDO) 组.
- 重复操作指示的子组分析,包括门功能障碍,感染和大动脉病理.
主要成果:
- 整体重复手术率为4.8% (88名患者),ARR后平均为3.1年.
- 雷多组较年轻,双主动脉的患病率更高.
- 长期存活率在各组之间是相似的,但重新手术被确定为晚期死亡的危险因素.
结论:
- 在ARR后重新手术的发生率很低.
- 大动脉根置换后的重新操作是晚期死亡的重要风险因素.
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