三岁以下主动脉缩窄矫正术后随访

Hans A. Huysmans MD, A.P. Kappetein MD
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引用次数: 0

摘要

年龄小于3岁的主动脉缩窄患者需要终身随访,以发现再狭窄、高血压和瓣膜疾病。DSA, MRI和自行车运动检测对再狭窄的检测是有用的。考虑到再吻合的发生率,需要更长时间的随访来分析聚丙烯缝合线延长端到端吻合是否优于丝缝合线经典吻合。6个月前手术的患者患高血压的可能性小于年龄较大的患者。
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Follow-up after correction of aortic coarctation under the age of three years

Patients operated upon for coarctation of the aorta below the age of 3 years need lifelong follow-up for detection of restenosis, hypertension and valvular disease. DSA, MRI and bicycle exercise testing are useful in detecting restenosis. Longer follow-up will be needed to analyse whether extended end-to-end anastamoses with polypropylene sutures are better than classic anastomoses with silk sutures, in view of incidence of recoarctation. Patients operated upon before the age of 6 months are less likely to develop hypertension than patients operated upon at an older age.

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