在同时进行大动脉根和全大动脉门置换时进行大动脉门节约手术
Yu Hohri1, Kavya Rajesh1, Megan M Chung1
1Division of Cardiothoracic and Vascular Surgery, New York Presbyterian Hospital, Columbia University Irving Medical Center, 177 Fort Washington Ave, New York, NY, 10019, USA.
General thoracic and cardiovascular surgery
|April 23, 2025
概括
在联合主动脉根和全门置换过程中节省主动脉是安全的. 门节约性大动脉根置换 (VSRR) 的长期结果与复合门移植 (CVG) 程序相似.
科学领域:
- 心血管外科心血管外科
- 胸部外科手术 胸部外科手术
- 大动脉外科手术
背景情况:
- 联合的大动脉根置换 (ARR) 和全大动脉置换 (TAR) 程序是复杂的.
- 在这些联合手术中,大动脉节省技术的安全性和长期结果尚未得到充分证实.
研究的目的:
- 评估在ARR和TAR组合期间的大动脉节约手术的安全性和长期结果.
- 为了在这个患者队伍中比较节动脉根置换 (VSRR) 与复合接种 (CVG) 根置换.
主要方法:
- 在2004年至2021年期间接受ARR和TAR的81名患者的回顾性分析.
- 患者被分为VSRR (n=34) 和CVG (n=47) 组.
- 主要终点:无事件恢复 (没有死亡率或术后并发症);次要终点:12年生存率和重新干预率.
主要成果:
- 在患有连接组织疾病的年轻患者中,VSRR更常见,并且有轻度或中度的大动脉功能不全.
- 与CVG相比,VSRR的十字时间较长,但与CVG相比,在住院死亡率或无事件恢复率上没有显著差异.
- 多变量分析表明VSRR与无事件恢复无关.
- 在VSRR和CVG组中,12年生存率和重新干预率相似.
结论:
- 大动脉节约手术可以在经过ARR和TAR联合治疗的精心挑选的患者中安全地进行.
- 在这种复杂的手术环境中,VSRR的长期安全性和有效性与CVG相提并论.
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