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在全腔肺连接/Fontan手术后晚期的成年人中进行手术门置换

Veronica Lisignoli^1,2, Giulia Iannaccone^1,3, Michael Murphy^1,4

¹Adult Congenital Heart Diseases Unit, Royal Brompton and Harefield Hospitals, Part of Guy's and St Thomas's NHS Foundation Trust, London, UK.

European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery

|December 10, 2024

概括

在Fontan循环的成年人中,门手术是安全和有益的,长期改善症状和心脏功能. 仔细监测Fontan患者的门问题是必要的.

科学领域:

成年人的先天性心脏病.
进行心血管外科手术.
字体的流通结果.

背景情况:

有限的数据存在系统性半月 (SS) 或心房 (AV) 门手术的长期结果,在成年人与Fontan循环.
成年患有Fontan循环的患者可能需要在以后的生活中进行门手术.

研究的目的:

描述了在Fontan手术的历史的成年人门手术的单中心经验.
在这个特定的患者群体中评估门手术的长期结果.

主要方法:

对于在Fontan手术后因严重的门疾病再次接受手术的成年患者进行了回顾性审查.
数据收集包括来自电子医院数据库的人口统计,解剖学,临床状态,周围手术细节和长期结果.

主要成果:

八名成年Fontan患者 (7名男性) 由于严重的症状反而接受了门手术 (7名患者的SS门,1名患者的左AV门).
所有人都接受了机械假肢. 在平均10年的随访中,7名患者显示出显著的NYHA类改善,稳定的全身心室喷射率和功能良好的假肢.
没有患者需要重新手术或心脏移植; 由于无关感染而发生的一例死亡.

结论:

外科门置换,特别是SS门,在高度精选的成年Fontan患者的吐是安全的和临床上有益的.
在所有Fontan患者中,密切监测膜功能障碍至关重要.
未来的研究应该专注于完善选择标准,最佳时间和这些程序的结果.

关键词:

在Fontan流通的流通.在TCPCPC上,你会发现.结果结果结果结果.手术手术手术手术手术手术手术门假肢是一种假肢.

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