根基改造与根基再植入在双主动脉和根基动脉瘤患者中的患者
Fei Xiang1,2,3, Lin Chen1,2, Eric E Roselli1,2
1The Aorta Center, Miller Family Heart, Vascular & Thoracic Institute, Cleveland Clinic, Cleveland, Ohio.
Aorta (Stamford, Conn.)
|June 12, 2025
概括
在双主动脉患者的门节约根置换中,根改造和再植入的中期结果与根改造和再植入相似. 然而,由于较少的晚期大动脉吐和较少的门重新操作,建议重新植入根.
科学领域:
- 心血管外科心血管外科
- 大动脉膜疾病 大动脉膜疾病
- 双动脉门 双动脉门
背景情况:
- 双主动脉 (BAV) 和根动脉瘤需要节省的根替换.
- 根改造和根植入是BAV患者根动脉瘤的外科选择.
研究的目的:
- 为了比较使用根改造与根再植入的门节约根置换的中期结果,在患有BAV和根动脉瘤的患者中.
主要方法:
- 从2000年到2022年对206名患有BAV和根动脉瘤的成年人进行了回顾性研究.
- 患者进行了根改造 (n=32) 或根再植入 (n=174).
- 结果包括手术死亡率,发病率,耐久性和时间相关死亡率进行了比较.
主要成果:
- 重新植入组有更多的初始严重的大动脉反 (35%vs9.4%) 和较小的大动脉根.
- 根部重塑涉及更多的8个连接的数字 (44%对5.7%),而重新植入使用了更多的尖端应用 (52%对34%).
- 在5年后,与重塑相比,再植入显示出较少的严重大动脉吐 (5.0%对16%),较少的重复手术 (6.0%对23%) 和相似的存活率 (95%对97%).
结论:
- 根改造和再植入都是BAV患者根动脉瘤的安全程序,提供类似的中期结果.
- 根部再植入与更好的长期门功能有关,有较少的晚期大动脉吐和较少的重新手术.
- 尽管塞时间较长,但建议根部再植入,以改善根动脉瘤的BAV患者的耐用性.
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