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新生儿和幼儿的大动脉门不穿越:一个案例系列
Neil M Venardos1, Arshid Mir2, Randall M Schwartz3
1Division of Cardiovascular and Thoracic Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, Okla.
JTCVS open
|July 9, 2025
概括
新生儿有 circumflex 大动脉门和心,从早期的手术修复中受益. 新生儿的大动脉不交叉手术在复杂的门重建方面显示出有前途的结果.
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.
- 血管重建 血管重建
背景情况:
- 环流动性大动脉门和动需要新生儿及时进行手术干预.
- 手术纠正涉及门修复和大动脉不交叉.
- 关于接受这种复杂手术的新生儿的结果的数据有限.
研究的目的:
- 审查新生儿和幼儿的大动脉不交叉手术的单中心经验.
- 评估作为新生儿门重建的一部分的大动脉不交叉的安全性和有效性.
主要方法:
- 在2015年1月至2024年11月期间接受主动脉切除术的患者的回顾性评估.
- 数据收集包括人口统计,心声回声和横截面成像.
- 手术技术涉及到大动脉门的转位和解穿,在循环停止下与大脑输液进行前级输液.
主要成果:
- 四名新生儿的右门和环动脉经历了手术.
- 年龄在7至46天之间;体重在2.8至4.5公斤之间.
- 并发症包括2名患者的补丁增大和3名患者的左声带功能障碍. 一名患者需要随后进行与此无关的心脏手术. 所有患者都在长期随访中表现良好.
结论:
- 大动脉不交叉手术是新生儿门重建的安全有效选择.
- 在接受这种复杂的手术干预的新生儿中观察到出色的结果.
- 这种程序为新生儿群体中复杂的大动脉形异常提供了可行的解决方案.
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