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单心室呈现迟到:手术选择.
Sachin Talwar1,2, Supreet Marathe3, Manan Desai4
1Cardiothoracic Centre, All India Institute of Medical Sciences, Ansari Nagar (East), New Delhi, 110029 India.
概括
单心室 (SV) 心脏缺陷需要分阶段的手术缓解,通常以Fontan手术 (FO) 达到顶峰. 管理挑战,特别是在低收入和中等收入国家 (LMICs),包括延迟提交和有限的资源影响长期护理.
科学领域:
- 遗传性心脏病是一种先天性心脏病.
- 儿科心脏病学 儿科心脏病学
- 心胸外科手术是一项心胸手术.
背景情况:
- 单心室 (SV) 异常代表复杂的先天性心脏缺陷,其中双心室修复是不可行的.
- 目前的手术管理通常涉及分阶段的息,Fontan操作 (FO) 是最终的目标.
- 在管理SV患者方面存在重大挑战,特别是在资源有限的环境中.
研究的目的:
- 审查当前的单心室患者在童年以后的管理策略.
- 应对低收入和中等收入国家 (LMICs) 的挑战,包括迟到提交和有限的医疗保健准入.
- 讨论Fontan后患者和那些从未得到缓解的患者的长期并发症.
主要方法:
- 对SV当前手术方法的审查:肺动脉带带 (PAB),双向格伦 (BDG) 和丰坦手术 (FO).
- 关注LMIC中晚期出现的成年VS患者的考虑因素.
- 强调高收入国家和LMICs之间的医疗保健资源差异.
主要成果:
- 晚期呈现和有限的医疗保健准入在LMICs中普遍存在,使SV管理复杂化.
- 资源限制对干预的及时性和对SV患者的持续后续护理产生重大影响.
- 富兰顿后患者的长期并发症需要专门的,往往资源密集的管理.
结论:
- 单心室异常的有效管理需要量身定制的策略,特别是对于LMICs的成年患者.
- 解决医疗保健差异和资源限制对于改善全球SV患者的治疗结果至关重要.
- 持续的研究和资源配置是必要的,以优化单心室心脏缺陷患者的长期护理.
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