mitra 门手术和迷宫手术:韩国经验在风湿与退行性疾病之间
Joon Young Kim1, Hong Rae Kim1, Jae-Suk Yoo1
1Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Annals of cardiothoracic surgery
|February 11, 2026
概括
在米特拉手术期间的手术切除是有效的控制心房动 (AF) 在风湿和退行性心脏病患者. 这种程序提供了持续的节律控制和积极的临床结果,支持其常规使用,无论潜在的原因.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 电子生理学 电子生理学
背景情况:
- 在韩国,风湿性米特拉病比在西方国家更为普遍.
- 在米特拉 (MV) 手术期间对心房动 (AF) 的管理至关重要.
- 了解基于MV疾病病因学的结果对于治疗策略很重要.
研究的目的:
- 在接受MV手术的患者中,比较AF手术切除的长期节奏和临床结果.
- 为了评估风湿与退行性MV疾病患者的结果.
- 为了评估在韩国一个大规模的中心同时进行手术切除的疗效.
主要方法:
- 对1872名接受MV手术并同时进行外科切除手术的患者 (2001-2020年) 的回顾性分析.
- 根据MV病因分类的患者:风湿性 (n=1,157) 与退行性 (n=715).
- 主要结局:AF复发. 这是AF的复发. 二次结果:死亡率,中风,永久心脏起器 (PPM) 植入.
主要成果:
- 在风湿性 (40.6%) 和退行性 (39.8%) MV疾病组之间,在10年AF复发率上没有显著差异.
- 风湿病因与死亡,中风或PPM植入的风险增加无关.
- 风湿病患者年轻,女性更常见,并且有更持久的AF.
结论:
- 在MV手术期间的外科切除提供了持续的节律控制和对退行性和类风湿性MV疾病的良好结果.
- 调查结果支持在MV手术中例行使用外科切除,无论病因如何,考虑到风湿性心脏病的负担.
- 该程序在当代韩国队列中是有效的.
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