对患有埃布斯坦异常的重症新生儿进行分阶段治疗:在Starnes手术后修复圆
Luciana da Fonseca da Silva1, Victor Morell2, Mario Castro Medina1
1University of Pittsburgh, Cardiothoracic Surgery Department, Division of Pediatric Cardiothoracic Surgery, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.
概括
这项研究引入了临界新生儿埃布斯坦异常的分阶段手术方法,使最初被认为不适合的患者能够进行双心室修复. 这种新的策略包括在Starnes手术后修复三管,改善了结果.
科学领域:
- 儿科心脏手术 儿科心脏手术
- 遗传性心脏病是一种先天性心脏病.
- 心血管外科心血管外科
背景情况:
- 史塔内斯手术历来是由于右心室 (RV) 腔的缩小而导致单心室通路.
- 临界新生儿埃布斯坦异常对双心室修复提出了挑战.
研究的目的:
- 为了描述临界新生儿埃布斯坦异常的最新阶段性手术修复.
- 为了强调Starnes手术的手术细节,中间干预和Starnes后的圆修复.
主要方法:
- 一个分阶段的治疗方法,包括在Starnes手术后修复三管 (TV).
- 纳入格伦手术与肺 (PV) 辅导器作为肺衰 (PAt) 患者的中间阶段.
- 描述Starnes和Glenn手术期间的手术操作,以促进后续步骤和促进RV生长.
主要成果:
- 在17名患者中成功实现了2-心室或1⁄2心室修复.
- 自2019年以来,在Starnes之后,使用圆修复进行分阶段处理的例行应用.
结论:
- 描述的阶段性修复在临界新生儿埃布斯坦异常中促进了双心室或一个半心室的修复.
- 这种方法为选定的患者提供了传统单心室途径的替代方案.
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