儿童和青年先天性心脏病患者的心脏移植手术。
Heart transplantation surgery in children and young adults with congenital heart disease.
机构信息
Department of Cardiothoracic Surgery, University Hospital Muenster, Albert-Schweitzer-Campus 1, 48149, Muenster, Germany.
Department of Pediatric Cardiology, University Hospital Muenster, Albert-Schweitzer-Campus 1, 48149, Muenster, Germany.
出版信息
J Cardiothorac Surg. 2023 Nov 27;18(1):342. doi: 10.1186/s13019-023-02461-5.
BACKGROUND
Pediatric cardiac transplantation remains a surgical challenge as a variety of cardiac and vessel malformation are present in patients with congenital heart disease (CHD). Despite limited availability and acceptability of donor hearts, the number of heart transplantations remains on a stable level with improved survival and quality of life.
OBSERVATION
As treatment options for CHD continue to improve and the chances of survival increase, more adult CHD patients are listed for transplantation. This review focuses on the clinical challenges and modified techniques of pediatric heart transplantations.
CONCLUSION
Not only knowledge of the exact anatomy, but above all careful planning, interdisciplinary cooperation and surgical experience are prerequisites for surgical success.
背景
儿科心脏移植仍然是一项手术挑战，因为患有先天性心脏病（CHD）的患者存在多种心脏和血管畸形。尽管供心的可用性和可接受性有限，但心脏移植的数量仍保持稳定水平，生存率和生活质量得到提高。
观察结果
随着 CHD 的治疗选择不断改善，生存率不断提高，越来越多的成人 CHD 患者被列入移植名单。本综述重点介绍儿科心脏移植的临床挑战和改良技术。
结论
不仅需要了解确切的解剖结构，而且还需要仔细规划、跨学科合作和手术经验，这些都是手术成功的前提条件。
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