右前部小型胸腔切除术的中期结果 大动脉置换
Ali Fatehi Hassanabad1, Mortaza Fatehi Hassanabad1, Muhammad Israr-Ul-Haq1
1Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute, University of Calgary, Calgary, Alberta, Canada.
CJC open
|December 30, 2024
概括
动脉置换 (AVR) 的右前部小型胸腔切除术 (RAMT) 显示出有希望的中期结果. 这种最少的侵入性方法是选择大动脉狭窄症患者的安全和有效选择.
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
- 最少侵入性的手术
背景情况:
- 大动脉置换 (AVR) 可以使用各种手术方法进行,包括全中枢切除术,半切除术和右前侧小胸口切除术 (RAMT).
- 对于孤立的AVR,RAMT方法的中期结果尚未得到广泛报道.
研究的目的:
- 评估隔离性大动脉置换 (AVR) 的中期结果,使用右前侧小胸切除术 (RAMT) 方法.
- 评估RAMT AVR在临床环境中的安全性和有效性.
主要方法:
- 一项回顾性研究对70名在2016年2月至2018年2月期间接受孤立RAMT AVR的患者进行了回顾性研究.
- 主要结局包括30天死亡率和致残性中风.
- 二次结果评估了生存率,再住院率,假体门功能和再干预率.
主要成果:
- 在30天内发生了一例术后死亡 (1.4%) 和没有残疾性中风.
- 平均随访时间为74.46个月,95个月的存活率为70% (49名患者活着).
- 在95个月后,对大动脉重新干预的自由率为98.6%,大多数患者的假发功能正常.
结论:
- 右前部微型胸腔切除术 (RAMT) AVR是在选定的患者中是一种安全有效的程序.
- 中期结果表明RAMT AVR是治疗大动脉狭窄的可行选择,提供了有利的结果.
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