Đánh giá kết quả trung hạn sửa van hai lá sử dụng dây chằng nhân tạo

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Tác giả: Văn Nghĩa Nguyễn

Ngôn ngữ: Vie

Ký hiệu phân loại: 612.1 Blood and circulation

Thông tin xuất bản: Phẫu thuật Tim mạch và Lồng ngực Việt Nam 2020

Mô tả vật lý: 110-115

Bộ sưu tập: Metadata

ID: 412353

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Tiền cứu hàng loạt ca các trường hợp lâm sàng từ tháng năm 2015 đến 2018 trên các số liệu thu thập được từ 27 bệnh nhân được phẫu thuật sửa van hai lá sử dụng dây chằng nhân tạo và khám lại sau phẫu thuật.Kết quả: Tuổi trung bình của bệnh nhân 51.67 ± 11.12 tuổi. Tỷ lệ tái khám đều là 92.6%, mất theo dõi sau mổ là 2 bệnh nhân. Sau 2 năm theo dõi, không có trường hợp tử vong muộn, và 96,3% không cần mổ lại. Nhiễm trùng vết mổ 3,7%. 96,3% trường hợp không hở van hai lá tồn lưu hoặc hở nhẹ 3,7% hở trung bình.Kết luận: Sửa van hai lá sử dụng dây chằng nhân tạo là phương pháp điều trị rất tốt đối với bệnh nhân hở van hai lá do thoái hóa van. Ưu điểm của phẫu thuật này là bảo tồn được mô van hai lá, tăng cường cho bộ máy dưới van nhờ dây chằng nhân tạo với độ an toàn cao, ít biến chứng, và bệnh suất cũng như tử suất thấp., Tóm tắt tiếng anh, From 2015 to 2018, 27 patients underwent mitral valve repair by the technique of applying artifitial chordae in the Heart Institute of Ho Chi Minh, Vietnam. Results: Valve disease was degenerative in most cases. Age ranging of patients 51.67 ± 11.12 years. Regular follow-up ratio was 92.6%, lost ollow-up 2 cases. Non-fatal complication: No bacterial endocarditis Infection: 3.7%. No death after 2 years of follow-up overall. Freedom from re-operation at 2 years was 96.3% (1 case of re-operation related to cardiac insufficiency). The grades of mitral regurgitation at 2 years were 96.3% absent or mild, 3.7% moderate. Conclusions: This study showed excellent mortality and morbidity outcomes with mitral valve repair applying artifitial chordae at 2-year follow-up, confirming reliablility and durability of this technique for the patients. This showed a good solution for mitral regurgitation by safe technique, and increase feasibility of mitral valve repair

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