在晚期呈现TGA时管理回归的左心室
Dhananjay Prakash Malankar1, Rajesh Sharma2
1Department of Paediatric Cardiac Surgery, Fortis Paediatric and Congenital Heart Centre, Fortis Hospital, Room No 113, Paediatric Cardiology OPD, Mulund Goregaon Link Road, Mumbai, Maharashtra 400078 India.
概括
对于晚期出现的大动脉转移 (TGA) 与左心室回归 (rLV),左心室再训练是最有效的治疗方法. 其他方法可能提供暂时的解决方案,但最终需要进行正手术.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 生产性心脏手术 手术 生产心脏手术
- 心血管生理学心血管生理学
背景情况:
- 动脉切换操作 (ASO) 是新生儿的大动脉转移 (TGA) 的标准.
- 晚期呈现的TGA与完整的心室隔膜和回归的左心室 (rLV) 的管理仍在争论中.
- 左心室再培训已经成为这种患者子组的关键策略.
研究的目的:
- 审查病理生理学和治疗选择晚期呈现的TGA与完整的心室隔膜和rLV.
- 评估不同外科手术方法的有效性.
- 为了为这种复杂的儿科心脏病的临床决策提供信息.
主要方法:
- 使用Pubmed和Scopus数据库进行了全面的文献综述.
- 鉴定和分析有关病理生理学和治疗策略的研究.
- 综合发现,提供对主题的综述.
主要成果:
- 有各种不同的治疗选择,包括单阶段和多阶段的程序.
- 大多数报告的结果来自于具有有限的中长期数据的小型病例系列.
- 左心室再培训显示,这是一个可行的和有效的方法.
结论:
- 左心室再训练是最实用和有效的方法,用于晚期呈现的TGA与rLV.
- 低风险的替代技术可能是暂时的解决方案,需要未来的正手术.
- 这些替代策略代表了成本转移而不是成本节约措施.
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