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左心发育不全综合征 1 期手术新方法:初步结果。

New approach in stage 1 surgery for hypoplastic left heart syndrome: preliminary outcomes.

机构信息

Department of Cardiovascular Surgery, Baskent University Faculty of Medicine, Konya, Turkey.

Division of Pediatric Cardiology, Baskent University Faculty of Medicine, Konya, Turkey.

出版信息

Cardiol Young. 2023 Sep;33(9):1544-1549. doi: 10.1017/S1047951122002682. Epub 2022 Aug 25.

DOI:10.1017/S1047951122002682
PMID:36004405
Abstract

OBJECTIVES

We present the short-term results of an alternative method in stage 1 surgery for hypoplastic left heart syndrome.

METHODS

Data of 16 consecutive patients who were treated with the novel method in our clinic between February 2019 and March 2021 were analysed retrospectively. Preoperative data and postoperative follow-up were recorded.

RESULTS

Of the 16 operated patients, 12 were diagnosed with hypoplastic left heart syndrome, while four were diagnosed with hypoplastic left heart syndrome variants. Seven patients died during early postoperative period. One patient died at home waiting stage 2 surgery. Three patient underwent stage 2 surgery. Pulmonary artery reconstruction was performed in one patient due to left pulmonary artery distortion.

CONCLUSIONS

We believe that our method can be an effective alternative in the surgery of hypoplastic left heart syndrome and its variants. It is hoped that with increasing number of studies and more experience better outcome will be achieved.

摘要

目的

我们介绍一种用于左心发育不全综合征 1 期手术的替代方法的短期结果。

方法

回顾性分析了 2019 年 2 月至 2021 年 3 月在我院接受新方法治疗的 16 例连续患者的数据。记录了术前数据和术后随访情况。

结果

16 例手术患者中,12 例诊断为左心发育不全综合征,4 例诊断为左心发育不全综合征变异型。7 例患者在术后早期死亡。1 例患者在家中等待二期手术时死亡。3 例患者接受了二期手术。由于左肺动脉扭曲,1 例患者行肺动脉重建术。

结论

我们认为我们的方法可以作为左心发育不全综合征及其变异型手术的有效替代方法。随着研究数量的增加和经验的增加,有望取得更好的结果。

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