中国体外循环杂志2017，Vol.15Issue(3)：153-158,6.DOI:10.13498/j.cnki.chin.j.ecc.2017.03.07
两种术式治疗主动脉瓣病变伴升主动脉扩张的疗效分析
Comparison of two surgical treatment for aortic valve diseases combined with ascending aortic dilatation
朱江 1李卓东 1谈梦伟 1唐昊 1徐志云1
作者信息
- 1. 200433 上海,第二军医大学长海医院心血管外科
- 折叠
摘要
Abstract
Objective To analyze risk factors for postoperative adverse events of patients with aortic valve diseases combined with ascending aortic dilatation,and to provide theoretical basis for clinical diagnosis and treatment of aortic valve diseases combined with ascending aortic dilatation.Methods One hundred and twenty-four patients with aortic valve diseases combined with ascending aortic dilatation were analyzed retrospectively,and all of them underwent aortic valve replacement (AVR) combined with ascending aortic replacement (or aortoplasty).Patients were divided into observation group (22) and control group (102) according to the adverse events occurred in the follow-up period.Results Univariate analysis of prognostic factors showed statistically significances in gender,aortic valve,preoperative diameter of ascending aorta,preoperative left ventricular end diastolic volume (LVEDV) between the 2 groups.Multiple regression analysis indicated that bicuspid aortic valve (BAV) (P=0.015,OR=6.892,95％CI: 1.452-32.724),longer preoperative diameter of ascending aorta (P<0.01,OR=3.087,95％CI: 1.545-6.166),larger preoperative LVEDV (P=0.01,OR=3.087,95％CI: 1.545-6.166) were risk factors of poor prognosis.Conclusion BAV,preoperative diameter of ascending aorta,larger preoperative LVEDV are independent predictors of poor prognosis in patients with aortic valve diseases combined with ascending aortic dilatation.关键词
升主动脉扩张/主动脉/主动脉置换术/主动脉成形术/预后Key words
Aortic valve disease/Ascending aortic dilatation/Prognosis/Logistic regression引用本文复制引用
朱江,李卓东,谈梦伟,唐昊,徐志云..两种术式治疗主动脉瓣病变伴升主动脉扩张的疗效分析[J].中国体外循环杂志,2017,15(3):153-158,6.
