驶近风口后的左心室重建？

IF 1.3 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Thoracic and Cardiovascular Surgeon Pub Date : 2024-05-15 DOI:10.1055/s-0044-1786879

Clara Großmann, Ihor Krasivskyi, Ilija Djordjevic, Navid Mader, Thorsten Wahlers, Kaveh Eghbalzadeh

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引用次数: 0

摘要

心肌梗死后左心室动脉瘤（LVA）仍然是心肌梗死后的一种预后不良的并发症。由于治疗方法的改进，其发病率有所下降，但由于 2019 年冠状病毒病的大流行，其发病率可能再次上升。在这项回顾性单中心队列研究中，我们分析了 n = 17 名在 Dor 之后接受左心室重建的患者。结果显示，平均重症监护室住院时间为 8 ± 16 天，30 天死亡率为 6%。术后平均射血分数为（44 ± 8%），除三例患者外，其他患者的射血分数均有所增加。这表明，LVA 患者可以得到成功治疗，而且由经验丰富的外科医生进行治疗是安全的。因此，仍应尽早考虑对他们进行手术治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Left Ventricular Reconstruction after Dor-Sailing Close to the Wind?

Postinfarction left ventricular aneurysm (LVA) still remains a complication after myocardial infarction with a poor prognosis. Its incidence has decreased due to improved treatment, however, it may have experienced a renaissance due to the coronavirus disease 2019 pandemic. In this retrospective, single-center cohort study, we analyzed n = 17 patients who underwent left ventricular reconstruction after Dor. The results show a mean intensive care unit stay of 8 ± 16 days and a 30-day mortality rate of 6%. Mean postoperative ejection fraction was 44 ± 8% indicating an increase in all but three cases. This suggests that patients with an LVA can be successfully treated, and it is safe when performed by experienced surgeons. Therefore, they should still be considered for surgery early on.

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来源期刊

Thoracic and Cardiovascular Surgeon 医学-呼吸系统

CiteScore

3.40

自引率

6.70%

发文量

365

审稿时长

3 months

期刊介绍： The Thoracic and Cardiovascular Surgeon publishes articles of the highest standard from internationally recognized thoracic and cardiovascular surgeons, cardiologists, anesthesiologists, physiologists, and pathologists. This journal is an essential resource for anyone working in this field. Original articles, short communications, reviews and important meeting announcements keep you abreast of key clinical advances, as well as providing the theoretical background of cardiovascular and thoracic surgery. Case reports are published in our Open Access companion journal The Thoracic and Cardiovascular Surgeon Reports.