外科主动脉瓣置换术后人工瓣膜-患者不匹配：既不罕见也非无害。
Prosthesis-Patient Mismatch after Surgical Aortic Valve Replacement: Neither Uncommon nor Harmless.
作者信息
Rayol Sérgio da Costa, Sá Michel Pompeu Barros Oliveira, Cavalcanti Luiz Rafael Pereira, Saragiotto Felipe Augusto Santos, Diniz Roberto Gouvea Silva, Sá Frederico Browne Correia de Araujo E, Menezes Alexandre Motta, Silva Frederico Pires Vasconcelos, Lima Ricardo Carvalho
机构信息
Pronto-Socorro Cardiológico de Pernambuco Department of Cardiovascular Surgery Recife PE Brazil Department of Cardiovascular Surgery at Pronto-Socorro Cardiológico de Pernambuco (PROCAPE), Recife, PE, Brazil.
Universidade de Pernambuco Recife PE Brazil Universidade de Pernambuco (UPE), Recife, PE, Brazil.
出版信息
Braz J Cardiovasc Surg. 2019 Jun 1;34(3):361-365. doi: 10.21470/1678-9741-2019-0008.
Prosthesis-patient mismatch (PPM) after surgical aortic valve replacement (SAVR) is an issue that has been overlooked (not to say neglected). Cardiac surgeons must bear in mind that this is a real problem that we must tackle. The purpose of this paper is to be a wake-up call to the surgical community by giving a brief overview of what PPM is, its incidence and impact on the outcomes. We also discuss the increasing role played by imaging for predicting and assessing PPM after SAVR (with which surgeons must become more acquainted) and, finally, we present some options to avoid PPM after the surgical procedure.
外科主动脉瓣置换术（SAVR）后的人工瓣膜-患者不匹配（PPM）是一个一直被忽视（甚至可以说是被忽略）的问题。心脏外科医生必须牢记，这是一个我们必须解决的实际问题。本文的目的是通过简要概述PPM是什么、其发生率以及对预后的影响，给外科界敲响警钟。我们还讨论了成像在预测和评估SAVR后PPM方面日益重要的作用（外科医生必须对此有更多了解），最后，我们提出了一些避免手术后出现PPM的选择。
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