修复失败的机制在使用带状置换进行中枢修复后
Miriam Lang1, Nina Feirer1, Bernhard Voss1
1Department of Cardiovascular Surgery, Institute Insure, German Heart Center Munich, School of Medicine & Health, Technical University of Munich, Munich, Germany.
The Annals of thoracic surgery
|November 27, 2024
概括
在344名患者中分析了心交修复 (MVr) 失败机制. 疾病进展,技术问题和内心炎导致了大多数故障,对于技术故障来说,再修复是可行的,但对于硬化症来说,通常需要更换门.
科学领域:
- 心血管外科心血管外科
- 心脏外科手术 心脏外科手术
- 胸部外科手术 胸部外科手术
背景情况:
- 退行性额回是一种常见的疾病,需要手术干预.
- 使用带状置换和结节整形手术进行关修复 (MVr) 是标准的治疗方法.
- 了解修复失败机制对于改善患者的治疗结果至关重要.
研究的目的:
- 分析在隔离性弦置换和结婚整形手术后, mitra 门修复失败的机制.
- 识别影响重新操作的需要和重新修复和更换之间的选择的因素.
主要方法:
- 在隔离MVR之后,对所有额头膜重复手术的回顾性观察性研究.
- 2003年至2010年间从德国慕尼黑心脏中心收集的数据.
- 分析故障机制,修复技术和结果.
主要成果:
- 在344名患者中,11.0%的患者在平均随访9.7年后需要重新手术.
- 主要失效机制包括疾病进展 (39.5%),技术失效 (36.8%) 和内心炎 (18.4%).
- 在28.9%的病例中,重复修复是可行的,特别是在技术故障的情况下,而对硬化症更常见的是 mitra 置换.
结论:
- 使用带置换的关修复提供了各种各样的修复选择,包括透导管方法.
- 在技术故障的情况下,Redo MVr更成功.
- 对患有中枢硬化症的患者来说,中枢替换经常是必要的.
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