主动脉缩窄手术矫正后的生活质量。一组长期随访患者的回顾性分析

[Quality of life after surgical correction of the aorta coarctation. Retrospective analysis of a group of patients with long-term follow-up].

作者信息

Amaral F, Granzotti J A, Nunes M A, Somerville J

机构信息

Hospital do Coração de Ribeirão Preto/Fundação Waldemar B Pessoa, Faculdade de Medicina de Ribeirão Preto/USP e Royal Brompton and National Heart Hospital, Londres.

出版信息

Arq Bras Cardiol. 1997 Jun;68(6):421-7.

PMID:9515249

Abstract

PURPOSE

To report on the long-term results after operation for coarctation of the aorta.

METHODS

One hundred and four patients were studied, divided in four groups (G1, G2, G3 and G4), according to age at operation. Data analysed: reoperation, persistent hypertension, residual lesions, left ventricular function and ability index.

RESULTS

Reoperation was frequent, mainly in G1 (60%) and G4 (29%). Resting hypertension occurred predominantly in cases operated on after the 10th year of life: 28% (G3) and 29% (G4). Exercise hypertension was found in cases operated on after the 20th year. Residual lesions were frequent: 97%, 98%, 83% and 65% (G1 to G4). Individual functional limitation was uncommon. The ability index was normal in the great majority of the patients (94%).

CONCLUSION

Reoperation is frequent, particularly for recoarctation and aortic stenosis. Rest and/or exercise hypertension is common and related to delayed surgery. Aortic residual lesions are frequent. Physical limitation is uncommon. Postoperative follow-up is essential in order to detect late complications, which, usually, do not limit the individual patient.

摘要

目的

报告主动脉缩窄手术后的长期结果。

方法

对104例患者进行研究，根据手术时的年龄分为四组（G1、G2、G3和G4）。分析的数据包括：再次手术、持续性高血压、残余病变、左心室功能和能力指数。

结果

再次手术很常见，主要发生在G1组（60%）和G4组（29%）。静息性高血压主要发生在10岁以后接受手术的患者中：G3组为28%，G4组为29%。运动性高血压在20岁以后接受手术的患者中发现。残余病变很常见：G1至G4组分别为97%、98%、83%和65%。个体功能受限不常见。绝大多数患者（94%）的能力指数正常。