部分和过渡性心房支柱缺陷的修复:单中心队列中的中期结果
Zewen Chen1, Yifan Li2, Wen Xie3
1Department of Cardiac Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, 510080 Guangzhou, Guangdong, China.
Reviews in cardiovascular medicine
|February 9, 2026
概括
对心室隔膜缺陷 (AVSD) 的手术修复在儿科和成人患者中显示出优异的中期存活率和低的重新手术率. 精细的心房门修复策略对于减少重新干预至关重要.
科学领域:
- 心血管外科心血管外科
- 儿童心脏病学 儿童心脏病学
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 心房隔膜缺陷 (AVSD) 是一种复杂的先天性心脏病.
- 手术修复的目的是获得最佳的结果和最小的重新干预.
- 在不同年龄段评估AVSD修复的中期结果至关重要.
研究的目的:
- 评估部分和过渡性心房间隔膜缺陷 (AVSD) 的手术修复的中期结果.
- 为了比较儿科和成人患者群体之间的结果.
- 分析重新手术率和心房门 (AVV) 修复策略.
主要方法:
- 136名接受部分或过渡性AVSD修复的患者的回顾性审查 (2019年1月 - 2022年12月).
- 评估死亡率,重新手术和AVV修复策略.
- 随访包括对左心室膜 (LAVV) 吐的评估.
主要成果:
- 在136名患者中没有发生过早或晚期死亡 (平均随访时间为50.5个月).
- 观察到2.9%的低恢复率,主要是LAVV问题.
- 根据AVSD亚型,年龄或结婚术类型,复发率和LAVV反并没有显著差异.
结论:
- 部分和过渡性AVSD的手术修复产生了优异的中期存活率和低的重新手术率.
- 完善AVV修复至关重要,以最大限度地减少LAVV的重新干预,并防止外流通道的阻塞.
- 长期跟踪是必要的,以评估annuloplasty技术的耐用性.
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