儿童瓣膜和瓣下主动脉狭窄的围手术期和麻醉考虑。

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-12-01 Epub Date: 2023-07-16 DOI:10.1177/10892532231189933

Faith Ross, Kelly Everhart, Greg Latham, Denise Joffe

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引用次数: 1

摘要

主动脉瓣狭窄(AS)是先天性心脏病患儿左心室流出道梗阻(LVOTO)的常见形式。本综述特别考虑了儿科患者瓣膜(VAS)和瓣膜下AS (subAS)的围手术期特征。尽管VAS和subAS有一些共同的临床特征和诊断方法，但它们是不同的临床实体，具有不同的治疗选择，范围从经导管介入到手术修复。我们详细介绍了AS的病理生理学，并强调了治疗策略的范围，重点是在干预之前，期间和之后对这些患者的麻醉护理。

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Perioperative and Anesthetic Considerations in Pediatric Valvar and Subvalvar Aortic Stenosis.

Aortic stenosis (AS) is a common form of left ventricular outflow tract obstruction (LVOTO) in children with congenital heart disease. This review specifically considers the perioperative features of valvar (VAS) and subvalvar AS (subAS) in the pediatric patient. Although VAS and subAS share some clinical features and diagnostic approaches, they are distinct clinical entities with separate therapeutic options, which range from transcatheter intervention to surgical repair. We detail the pathophysiology of AS and highlight the range of treatment strategies with a focus on anesthetic considerations for the care of these patients before, during, and after intervention.

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.