解读风险因素:探索大动脉硬化患者中再硬化的前体
Bobur Turaev1, Khakimjon Abralov2, Nodir Ibragimov1
1Tashkent Pediatric Medical Institute Hospital, Tashkent, Uzbekistan.
概括
大动脉的缩 (CoA) 是一个重大挑战. 大动脉形缺血是reCoA的关键风险因素,某些手术修复,如切除和端到端解剖,显示出更高的reCoA率.
科学领域:
- 心血管外科心血管外科
- 儿童心脏病学 儿童心脏病学
- 医疗工程 医疗工程
背景情况:
- 重缩大动脉 (reCoA) 是大动脉重缩 (CoA) 修复后的一个常见并发症.
- 确定reCoA的风险因素对于改善患者的治疗结果至关重要.
研究的目的:
- 调查COA初始修复后导致回心形成的因素.
- 评估大动脉形低形成和reCoA之间的关联.
- 为了在不同的外科修复技术中比较reCoA率.
主要方法:
- 对120名通过左胸切除术进行CoA修复的患者进行了回顾性队列研究 (2012-2022).
- 缩被定义为压力梯度>20 mm Hg在心声回声学上.
- 使用SPSS和Jamovi进行的统计分析.
主要成果:
- 25%的患者经历了早期的reCoA,43.7%经历了晚期的reCoA.
- 大动脉形缺血症存在于23.3%的患者中,对于早期和晚期reCoA的形大小z-score具有显著的负相关性.
- 切除和端到端解剖 (EEA) 是早期 (59%) 和晚期 (77%) reCoA 的最高率.
结论:
- 大动脉形缺血是早期和晚期形的重要危险因素.
- 外科修复方法,特别是切除和端到端解剖,以及假肢贴片动脉增生术,与延长端到端解剖相比,可能会伴有更高的重风险.
更多相关视频
13:10Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
Published on: April 24, 2017
18.5K
09:32Measurement of Pulse Propagation Velocity, Distensibility and Strain in an Abdominal Aortic Aneurysm Mouse Model
Published on: February 23, 2020
6.1K
相关概念视频
Thoracic Aorta
369
The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
369
Abdominal Aorta
616
Once the aorta traverses the diaphragmatic plane at the aortic hiatus, it is known as the abdominal aorta. This anatomical structure is positioned leftward of the spinal column, encased within a cocoon of adipose tissue behind the peritoneal cavity. It terminates at the L4 vertebra, where it splits into the common iliac arteries. Prior to this bifurcation, the abdominal aorta gives rise to several vital branches.
The celiac trunk, a singular artery, divides into the left gastric artery, which...
The celiac trunk, a singular artery, divides into the left gastric artery, which...
616
The Aorta
626
The aorta is the largest artery in the human body. It originates from the left ventricle of the heart and extends down to the abdomen, where it splits into two smaller arteries. Structurally, it can be divided into four main parts: the ascending aorta, the aortic arch, the thoracic aorta, and the abdominal aorta.
The average diameter of the aorta is approximately 2-3 cm, but the size can vary depending on the section of the aorta and the individual's age, sex, and body size. The aorta is...
The average diameter of the aorta is approximately 2-3 cm, but the size can vary depending on the section of the aorta and the individual's age, sex, and body size. The aorta is...
626
The Arch of Aorta
556
The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Encircling the heart, the coronary arteries form a ring-like structure before...
556
