用Commando变体进行间隔膜纤维体重建的中期结果,用于活性传染性内心炎
Alberto Forteza-Gil1, Elena Sandoval2,3, Daniel Martínez-López1
1Cardiac Surgery Department, Puerta de HierroMajadahonda University Hospital, Majadahonda, Spain.
概括
使用"突击队"手术变体进行心脏纤维骨的手术重建对于感染性内心炎是有效的. 无论是否进行主动脉根置换,结果都是相似的,没有观察到复发.
科学领域:
- 心血管外科心血管外科
- 传染性内心炎感染性内心炎
- 心脏重建 心脏重建
背景情况:
- 感染性内心炎涉及隔膜纤维化,是一个危及生命的挑战.
- "Commando"手术及其变体是纤维骨重建的外科选择.
- 不同"指挥"操作方法的患者结果需要详细分析.
研究的目的:
- 审查经过不同代的患者的特征和结果的"指挥"手术的间隔膜纤维重建.
- 为了比较接受大动脉根置换 (ROOT组) 和未接受大动脉根置换 (非ROOT组) 的患者之间的结果.
主要方法:
- 78名患有急性传染性内心炎的患者的回顾性分析,需要进行间隔膜纤维结构重建.
- 患者被分为ROOT (用根替换) 和非ROOT (没有根替换) 组.
- 收集的数据包括术后死亡率,术后并发症,重新手术,再感染和生存率.
主要成果:
- 在ROOT和非ROOT组之间没有观察到术后死亡率,术后并发症或重新手术的显著差异.
- 整体住院/30天死亡率为17.9%,没有跨组变化.
- 一年和五年生存率分别为76.2%和67.2%,各组中期生存率相似. 没有复发发生.
结论:
- "突击队"手术变体为有限选择的患者提供稳定的心脏纤维骨重建.
- 手术重建成功,而不是包括根部置换,是可比的早期和中期结果的关键.
- 这些技术有效地预防了感染性内心炎的复发,其中包括隔膜纤维化.
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