通过双侧胸切除术进行的最小侵入性手术,用于治疗伴随着心室隔膜破裂的左心室动脉瘤
Qianzhen Li1,2, Xiaodong Chen1, Weiye Xu1,3
1Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University, Xinquan Road 29, 350001, Fuzhou, Fujian, P. R. China.
Journal of cardiothoracic surgery
|February 25, 2025
概括
最少侵入性双侧胸切除术为修复带有或没有心室隔膜破裂 (VSR) 的左心室动脉瘤 (LVA) 提供了一个成功的替代方案,特别是在高风险患者中. 这种方法提供了有希望的结果,与传统的胸切除相比,手术风险降低了.
科学领域:
- 心血管外科心血管外科
- 最少侵入性的技术
- 胸部外科手术 胸部外科手术
背景情况:
- 对于左心室动脉瘤 (LVA) 进行传统的中枢切除术具有风险,特别是在老年或脆弱的患者中.
- 缺点包括手术后胸部稳定性和呼吸功能受损.
- 最少侵入性双侧胸切除术是一个潜在的替代方法.
研究的目的:
- 报告一个成功修复左心室动脉瘤 (LVA) 和心室隔膜破裂 (VSR) 的病例,使用微创双侧胸切除术.
- 评估这种方法在高风险患者中的可行性和结果.
主要方法:
- 一名79岁的男性患有LVA和VSR心肌梗塞后心肌梗塞,接受了双侧胸切除术.
- 使用了两个切口:右侧第3个肋间空间用于大动脉管道,左侧第5个肋间空间用于顶峰接入.
- 使用这种最小侵入性技术进行了LVA和VSR的修复.
主要成果:
- 这名79岁的患者出现了呼吸困难和骨折.
- 心声学证实了显著的LVA和VSR.
- 通过双侧胸切除术成功修复,患者在术后7天没有并发症就出院了.
结论:
- 双侧胸切除术是一种可行且有效的微创策略,用于修复左心室动脉瘤 (LVA).
- 这种方法在LVA患者中显示出有前途的结果,即使存在心室隔膜破裂 (VSR).
- 最少侵入性技术可以减少复杂的心脏修复手术的风险.
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