基于卡朋蒂埃分类的先天性二尖瓣反流修复术:长期疗效。

IF 1.1 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Koji Miwa, Shigemitsu Iwai, Tomomitsu Kanaya, Shota Kawai
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引用次数: 0

摘要

背景:根据卡朋蒂埃分类法对二尖瓣畸形的病因和形态进行标准化手术治疗的结果鲜有报道。本研究旨在根据 Carpentier 的分类评估儿童二尖瓣修复术的长期疗效:方法:对 2000 年至 2021 年期间在我院接受二尖瓣修复术的患者进行回顾性研究。根据 Carpentier 的分类对术前数据、手术技术和结果进行了分析。采用 Kaplan-Meier 分析法估算了未进行二尖瓣置换术和再次手术的患者比例:对 23 名患者(中位手术年龄为 4 个月)进行了 10 年(2-21 年)的随访。术前二尖瓣反流严重的有12例,中度的有11例。分别有 8、5、7 和 3 名患者有 Carpentier's 1、2、3 和 4 型病变。室间隔缺损(9 例)和右心室大动脉双出口(3 例)是最常见的相关心脏畸形。随访期间没有手术死亡或死亡病例。二尖瓣置换术后五年的总治愈率为91%,而在1、2、3和4型病变中,五年的再手术治愈率分别为74%、80%、71%和67%。最后一次随访时,3 名患者术后二尖瓣反流为中度,20 名患者为轻度以下:结论:目前对先天性二尖瓣反流的手术治疗一般被认为是适当的;然而,更复杂的病例需要结合各种手术技术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Congenital Mitral Regurgitation Repair Based on Carpentier's Classification: Long-Term Outcomes.

Background: There are few reports of the outcomes of standardized surgical management addressing the etiologic and morphologic aspects of mitral valve malformation according to Carpentier's classification. This study aimed to evaluate the long-term outcomes of mitral valve repair in children according to Carpentier's classification.

Methods: Patients who underwent mitral valve repair at our institution between 2000 and 2021 were retrospectively reviewed. Preoperative data, surgical techniques, and outcomes were analyzed according to Carpentier's classification. The proportion of patients free of mitral valve replacement and reoperation was estimated using Kaplan-Meier analysis.

Results: Twenty-three patients (median operative age, four months) were followed up for 10 (range, 2-21) years. Preoperative mitral regurgitation was severe in 12 patients and moderate in 11 patients. Eight, five, seven, and three patients had Carpentier's type 1, 2, 3, and 4 lesions, respectively. Ventricular septal defect (N = 9) and double outlet of the great arteries from the right ventricle (N = 3) were the most commonly associated cardiac malformations. There were no cases of operative mortality or deaths during the follow-up. The overall five-year rate of freedom from mitral valve replacement was 91%, whereas the five-year rates of freedom from reoperation were 74%, 80%, 71%, and 67% in type 1, 2, 3, and 4 lesions, respectively. Postoperative mitral regurgitation at the last follow-up was moderate in three patients and less than mild in 20 patients.

Conclusions: Current surgical management of congenital mitral regurgitation is generally considered adequate; however, more complicated cases required a combination of various surgical techniques.

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来源期刊
CiteScore
1.80
自引率
11.10%
发文量
128
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