美国胸外科医师学会新生儿和婴儿孤立性主动脉缩窄外科手术管理指南(2024年版)解读及与国内专家共识的对比OA北大核心CSTPCD

This paper aims to interpret the 2024 edition of the Society of Thoracic Surgeons(STS)Clinical Practice Guidelines on the Management of Neonates and Infants with Coarctation,and to discuss the differences between these guidelines and the domestic expert consensus.The guidelines provide a series of rec-ommendations for the surgical management of isolated coarctation of the aorta(CoA)in neonates and infants based on a systematic review of the literature.These recommendations include preferred treatment methods,tim-ing of surgery,surgical techniques and approaches,repair techniques and strategies,and methods of neuroprotec-tion.Compared to the domestic consensus,the STS guidelines show significant differences in surgical indica-tions,methods,techniques and strategies,timing of treatment,and terminology.The STS guidelines place more emphasis on the standardization of surgical methods and individualized treatment,while the domestic consensus highlights the importance of emergency surgical indications and early surgery.The findings of this paper provide valuable reference for domestic clinicians and contribute to the improvement and development of diagnostic and therapeutic standards for isolated CoA in neonates and infants.