同时修改的Cox-Maze和 mitra手术的长期结果
Choosak Kasemsarn1, Pramote Porapakkham1, Sahaporn Wathanawanichakun1
1Department of Cardiothoracic Surgery, Central Chest Institute of Thailand, Nonthaburi, Thailand.
概括
迷宫和中心的联合手术有效地治疗心房动 (AF) 和中心疾病. 手术后达到鼻节律 (SR) 会减少神经系统并发症,尽管复发预测因素包括AF持续时间和左心房大小.
科学领域:
- 心血管外科心血管外科
- 心脏电生理学 心脏电生理学
- 胸部外科手术 胸部外科手术
背景情况:
- 对于迷宫和中枢门联合手术的长期数据有限.
- 在心房动 (AF) 管理的同时,心心膜疾病需要有效的手术解决方案.
研究的目的:
- 为了评估结合迷宫和中枢门手术的长期疗效.
- 为了确定AF复发的预测因素和影响手术后生存的因素.
主要方法:
- 对406名接受了同时进行迷宫手术的手术患者进行分析 (2004年6月至2022年12月).
- 评估节奏结果,AF复发预测因素和整体存活率.
- 平均随访时间为100个月.
主要成果:
- 在15年内从AF中脱离的比例为52.7%.
- 与AF患者相比,鼻节律 (SR) 患者的神经并发症较少 (p=0.001).
- 预测AF复发的预测因素包括更长的AF持续时间,左心脏直径>50毫米,三巴手术和早期术后AF.
结论:
- 迷宫和 mitra 门的联合手术为患有 AF 和 mitra 门疾病的患者提供了显著的好处.
- 早期识别复发预测因素,如AF持续时间和左心房大小至关重要.
- 手术后保持SR与改善的神经结果有关.
相关概念视频
Mitral Regurgitation III: Medical Management
Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
Mitral Stenosis I: Introduction
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
Mitral Stenosis II: Clinical features and Diagnostic Tests
Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
Mitral Stenosis III: Medical Management
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
Mitral Stenosis IV: Nursing Management
A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
Cardiomyopathy VII: Pre and Post Operative Nursing Management
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...


