罗斯手术用于大动脉反与成年人的狭窄与没有自移植支持的成年人
Karen B Abeln1, Lennart Froede1, Tristan Ehrlich1
1Department of Cardiovascular Surgery, Saarland University Medical Center, Homburg, Germany.
概括
罗斯手术在自移植支持下显示出对大动脉吐和各种门形态的良好稳定性,降低了重新手术的风险. 支持的罗斯手术适用于所有患有大动脉膜疾病的患者.
科学领域:
- 心血管外科心血管外科
- 大动脉门维修
- 自体移植重建的重建
背景情况:
- 罗斯手术用于大动脉反 (AR) 和异常的大动脉形态.
- 自体移植扩张是一种已知的风险,可以通过自体移植支持来缓解.
研究的目的:
- 分析所有血液动力学损伤的罗斯手术的结果.
- 评估自移植支持对自移植扩张和重新操作率的影响.
主要方法:
- 对292名经过Ross手术的成年患者进行了回顾性分析,有或没有自移植支持.
- 根据大动脉狭窄症 (AS),AR或联合疾病 (CD) 分类的患者.
- 随访包括生存,重新操作自由和大动脉根尺寸.
主要成果:
- 15年的生存率在AS,AR和CD组中是相似的.
- 在10年内免受自体移植重置手术的总体率为90%,在自体移植支持下显著改善 (93%).
- 自体移植支显示出出色的稳定性,无论底层病变或形态如何.
结论:
- 没有支持的AR根部置换增加了重新干预的风险,无论形态如何.
- 支持的罗斯手术为所有血液动力学类型和形态提供了出色的自移植稳定性.
- 支持的罗斯手术对于一系列患有大动脉病的患者来说是一个可行的选择.
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