JTCVS techniques · 2023
The Commando procedure for pediatric patients: A case series.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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История · было → стало
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Kinami Hiroo, Kalfa David M, Goldstone Andrew B, Setton Mattan I, Ferris Anne Marie, Bacha Emile A
Аннотация
OBJECTIVE: The Commando procedure involves division of the intervalvular fibrous body, mitral valve replacement, and aortic valve replacement. It is considered a technically challenging procedure and traditionally has had high mortality.
METHODS: Five pediatric patients with combined left ventricular inflow and outflow obstruction were included in this study.
RESULTS: There were no early or late deaths during follow-up, and no pacemakers were implanted. None of the patients required reoperation during follow-up, and none developed a clinically significant gradient across the mitral valve or aortic valve.
CONCLUSIONS: The risks of this operation for patients with congenital heart disease undergoing multiple redo operations should be weighed against the benefits of normal-size mitral and aortic annular diameters and dramatically improved hemodynamics.
METHODS: Five pediatric patients with combined left ventricular inflow and outflow obstruction were included in this study.
RESULTS: There were no early or late deaths during follow-up, and no pacemakers were implanted. None of the patients required reoperation during follow-up, and none developed a clinically significant gradient across the mitral valve or aortic valve.
CONCLUSIONS: The risks of this operation for patients with congenital heart disease undergoing multiple redo operations should be weighed against the benefits of normal-size mitral and aortic annular diameters and dramatically improved hemodynamics.