经过 mitra 门修复的 mitra 环形脱节患者的结局†
Claudio Muneretto1, Michele D'Alonzo1,2, Massimo Baudo3
1Division of Cardiac Surgery, Spedali Civili Hospital, University of Brescia, Brescia, Italy.
概括
经过中枢修复的中枢环状断裂 (MAD) 患者患有较高的早期左心室功能障碍,需要机械支持. 然而,在MAD和没有MAD的患者之间,中期存活率相似.
科学领域:
- 心血管外科心血管外科
- 心脏解剖学 心脏解剖学
- 节律失常学 节律失常学
背景情况:
- 中心环状断裂 (MAD) 是后部中心叶片的移位,与心室功能障碍,心律失常和心脏突然死亡有关.
- 密特拉脱落 (MVP) 修复是一种常见的心脏手术.
研究的目的:
- 调查在患有和没有心肌环状断裂 (MAD) 的患者中对心肌膜修复的结果.
主要方法:
- 对326名为MVP (2021-2023) 进行 mitra 门修复的患者进行了回顾性单中心研究.
- 倾向性得分匹配创造了两组50名患者 (有和没有MAD).
- 主要终点:医院生存率,早期修复失败. 二级终点:MACE (复发,吐,LV功能障碍,心律失常),整体存活率.
主要成果:
- 在医院死亡率,早期重新手术或残留 mitrale 吐中没有显著差异.
- 患有MAD的患者显示早期左心室 (LV) 功能障碍的发病率较高,需要长时间的内或机械循环支持 (10%对0%,P=0.050).
- 中期复合结果和整体存活率在各组之间相似.
结论:
- 在患有MAD的患者中,中枢的修复与早期LV功能障碍的增加有关,需要机械支持.
- 尽管在早期存在挑战,但在接受米特拉修复的MAD患者中,中期存活率并未受到影响.
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