...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of cardiac surgery. >Management of the aortic root in type A aortic dissection: A valve sparing approach
【24h】

Management of the aortic root in type A aortic dissection: A valve sparing approach

机译：主动脉根系中的主动脉脱臼：阀门备件方法

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Type A acute aortic dissection (TAAAD) is rapidly fatal without emergency repair. Surgical outcomes have improved over the years with improvements in technique and postoperative care. Classically, supracomissural aortic replacement has been the standard of care. However, reintervention rates, particularly on the aortic root in certain groups of patients, shifted the focus towards improving long-term results of surgical repair. With regard to the aortic root, root replacement has been the gold standard. However, the surgical community realized that valve replacement in itself is a disease, and valve sparing aortic root replacement (VSRR) took center stage in the care of these patients. Methods We searched the Pubmed and EMBASE databases for articles related to VSRR and composite valve conduit (CVC) root replacement, and the long-term results of these techniques in TAAAD. Results Supracomissural repair is limited by reintervention, and CVC results are affected by complications related to the prosthetic valve. Conversely, VSRR is associated with good short-term outcomes, improvement in quality of life, and it is durable. Conclusion VSRR is a sound technique in TAAAD in experienced hands.
机译：背景A型急性主动脉夹层（TAAAD）在没有紧急修复的情况下会迅速死亡。近年来，随着技术和术后护理的改进，手术结果有所改善。传统上，巩膜上主动脉置换术一直是护理的标准。然而，再干预率，尤其是某些患者组的主动脉根部再干预率，将重点转向改善手术修复的长期效果。至于主动脉根部，根部置换一直是黄金标准。然而，外科界意识到瓣膜置换术本身就是一种疾病，保留瓣膜的主动脉根部置换术（VSRR）在这些患者的护理中占据了中心地位。方法我们在Pubmed和EMBASE数据库中搜索与VSRR和复合瓣膜导管（CVC）根管置换相关的文章，以及这些技术在TAAAD中的长期结果。结果巩膜上修复受再干预的限制，CVC结果受与人工瓣膜相关的并发症的影响。相反，VSRR与良好的短期结果、生活质量的改善有关，并且是持久的。结论VSRR是经验丰富的TAAAD患者的一项可靠技术。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号