内心炎和其他迹象表明,在透气管大动脉植入物后进行开放心脏手术
Torbjörn Ivert1, Aninda Omar2, Andreas Rück2
1Department of Cardiothoracic Surgery, Karolinska University Hospital and Molecular Medicine and Surgery, Karolinska Institutet, 17177 Stockholm, Sweden.
Interdisciplinary cardiovascular and thoracic surgery
|July 27, 2025
概括
过导管大动脉植入 (TAVI) 可以导致内心炎,但开放心脏手术为选定的患者提供治愈潜力. 早期干预可以提高这些复杂病例的生存率.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 传染性疾病 传染性疾病
背景情况:
- 过导管大动脉植入 (TAVI) 是对大动脉狭窄的常见程序.
- 传染性内心炎是TAVI后的一个罕见但严重的并发症.
- 患有TAVI相关内心炎的患者经常出现复杂的并发症.
研究的目的:
- 为了评估TAVI后发生内心炎的患者的开放心脏手术的结果.
- 评估TAVI相关内心炎患者的生存率.
- 为了将手术结果与TAVI内心炎的医疗管理进行比较.
主要方法:
- 追溯观测单中心分析.
- 包括31名接受TAVI (2016-2024) 和随后的开放心脏手术 (2019-2024) 的患者.
- 对TAVI后确定的内心炎的发病率,治疗和存活率的分析.
主要成果:
- 确定的内心炎发生在0.5%的TAVI手术中.
- 在17名确诊内心炎的患者中,有9名接受了大动脉置换,两年生存率为76%.
- 内心炎的医疗治疗显示了72%的2年生存率.
结论:
- 开放式心脏手术可以在TAVI后确诊内心炎的选定患者中治疗.
- 在罕见的TAVI并发症病例中,手术是拯救生命的.
- 谨慎的患者选择对于TAVI内心炎的手术结果至关重要.
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