大动脉内心炎和围膜腹的手术治疗和结果
Ellelan Degife1, Alyssa Morrison1, Syed Bin Usman Mahmood1
1Division of Cardiac Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT, USA.
Scientific reports
|November 26, 2024
概括
传染性内心炎中的大动脉根明显增加了患者的发病率和死亡率. 然而,在这些复杂的病例中,节根和根置换手术都提供了类似的长期存活率.
科学领域:
- 心血管外科心血管外科
- 传染性内心炎感染性内心炎
- 心脏腹管理心脏腹管理
背景情况:
- 大动脉根会使感染性内心炎复杂化,导致更高的发病率和死亡率.
- 对大动脉根的最佳手术管理策略尚不清楚.
研究的目的:
- 调查大动脉根瘤对发病率和死亡率的影响.
- 为了比较根部置换与大动脉根部的根节省修复的术后结果.
主要方法:
- 对218名患有主动大动脉内心炎的患者 (2011-2022) 的回顾性审查.
- 对64名患有周腹的患者进行分析,这些患者使用了简单的 (节制根部) 或复杂的 (根部置换) 技术进行治疗.
主要成果:
- 的患者有更高的先前心脏手术,重复内心炎手术,大动脉,心脏阻塞和假内心炎的比率.
- 大动脉根是术后死亡率的重要预测因素;四分之一在术前成像中错过了.
- 在患有的患者中,简单修复组和复杂修复组之间的五年生存率相似.
结论:
- 大动脉根明显增加感染性内心炎的发病率和死亡率.
- 早期检测和及时治疗对于改善大动脉根的患者的治疗结果至关重要.
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