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[通过Mustard或Senning手术对矫正性大动脉转位的监测]

[Surveillance of corrected transpositions by the Mustard or Senning operation].

作者信息

Senellart F, André M, Normand J, Bozio A, Sassolas F, Joulié V, Jocteur-Monrozier D

机构信息

Service de cardiologie, hôpital cardiologique et pneumologique Louis-Pradel, Lyon, France.

出版信息

Pediatrie. 1991;46(3):237-43.

PMID:1649436
Abstract

One hundred eighteen patients who survived Mustard immunités (n = 103) or Senning operations (n = 15) performed between 1972 and 1984 for isolated transposition of the main arteries were followed-up for over a mean period of 3.67 yr (up to 12 yr). The authors have examined the potential complications which can alter the long-term prognosis in this type of atrial correction: heart rhythm disorders (regression of sinus rhythm of 3.82% yr), mechanical complications, haemodynamic dysfunction. After atrial correction the survival curve underwent an actuarial regression of 1.3% yr. All these potential complications should be detected by regular survey and may indicate anatomical correction, the results of which have yet to be fully evaluated.

摘要

1972年至1984年间,118例因单纯大动脉转位接受Mustard手术(n = 103)或Senning手术(n = 15)后存活的患者接受了平均3.67年(最长12年)的随访。作者研究了可能影响此类心房矫治术长期预后的潜在并发症:心律失常(窦性心律每年下降3.82%)、机械并发症、血流动力学功能障碍。心房矫治术后,生存曲线每年以精算方式下降1.3%。所有这些潜在并发症都应通过定期检查发现,这可能提示进行解剖矫治,但其结果尚未得到充分评估。

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