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子程序的长期结果

M Takahashi, G G Lindesmith, A B Lewis

|September 1, 1977

概括

大血管转移的"子手术"在医院死亡率为10.6%. 幸存者经历了显著的追赶增长和良好的功能结果,尽管有些人有剩余的心脏问题.

科学领域:

心脏病学心脏病学
儿科手术儿科手术
遗传性心脏病是一种先天性心脏病.

背景情况:

大血管转移 (TGV) 是一种严重的先天性心脏缺陷.
子手术是TGV的缓解性手术干预.

研究的目的:

评估末程序的长期结果.
评估接受这种手术的患者的生存率,功能状态和潜在并发症.

主要方法:

在10年内对123名接受末手术的患者进行了回顾性审查.
分析医院死亡率,晚期死亡,术后节奏,生长,神经发育状态和导管检查结果.

主要成果:

住院死亡率为10.6%,晚期死亡主要归因于心律失常.
53%的患者在术后保持了鼻节律.
幸存者表现出追赶增长,特别是那些在2岁之前接受手术的人.
一半的幸存者表现出相似或改善的身体和学术表现.
手术后的导管检查显示,在一些患者身上,残留的分流和轻微的阻塞.

结论:

子手术为TGV患者提供了生存和改善的功能结果.
长期监测对于管理潜在的并发症,如心律失常和残留阻塞,至关重要.
早期的外科干预可以提高生长结果.

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