■在二尖瓣置换期间良好地暴露于二尖瓣装置是每个心脏外科医生必须采取的重要决定。这项研究是为了比较简单的经中间隔入路和传统的左心房入路用于二尖瓣手术。评估单纯经中间隔入路在心脏二尖瓣直视手术中的安全性和有效性,因为传统的左心房方法可能无法提供最佳暴露,尤其是在不利的解剖和手术情况下。
■这是一项回顾性研究。已对140名被诊断患有需要二尖瓣置换的心脏病的患者进行了研究。手术在心胸外科进行。二尖瓣手术是在全麻下,在体外循环机上使用冷顺行心脏停搏液通过胸骨正中切口进行的。人口统计数据,术前诊断,术中发现,住院,并发症,记录和修订死亡率。
■本研究纳入了140名患者,中位年龄为39岁,在基线人口统计数据和年龄方面没有显著差异,性别,体重指数(BMI)。共有68例患者通过简单的经中间隔入路进行了二尖瓣置换术,而72例患者通过常规的左心房入路进行了二尖瓣置换术。两组在旁路时间方面差异不显著,再手术率,术后并发症,住院,和死亡率。
■在二尖瓣置换术中的某些困难手术情况下,通过卵圆窝中点的简单经中隔入路可能是传统左心房切开术的安全甚至有利的替代方法。
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UNASSIGNED: Having good exposure to the mitral apparatus during mitral valve replacement is a vital decision every cardiac surgeon must take. This
study was conducted to compare the simple transseptal approach and the conventional left atrial approach for mitral valve procedures, to evaluate the safety and efficacy of the simple transseptal approach during open heart mitral valve procedures, as the conventional left atrial approach may not provide optimal exposure, especially in unfavorable anatomical and operative situations.
UNASSIGNED: This is a retrospective
study. It has been conducted on 140 patients who were diagnosed with heart diseases that required mitral valve replacement. Surgeries were performed in the Cardiothoracic Surgery Department. Mitral procedure was done through median sternotomy incision under general anesthesia on a cardiopulmonary bypass machine with cold antegrade cardioplegia. Demographic data, preoperative diagnosis, intraoperative findings, hospital stay, complications, and mortality were documented and revised.
UNASSIGNED: One hundred and forty patients were enrolled in this
study with a median age of 39 years, and no significant differences as regards the baseline demographic data as age, sex, and body mass index (BMI). A total of 68 patients underwent mitral valve replacement through the simple transseptal approach and 72 patients through the conventional left atrial approach. Both studied groups had insignificant differences as regards bypass time, re-operation rate, postoperative complications, hospital stay, and mortality.
UNASSIGNED: The simple transseptal approach through the midpoint of the fossa ovalis could be a safe and even favorable alternative to the traditional left atriotomy approach in certain difficult operative situations during mitral valve replacement surgery.
UNASSIGNED: