ファロー四徴修復術後遠隔期の肺動脈弁手術
- 15 September 2021
- journal article
- Published by The Japanese Society for Cardiovascular Surgery in Japanese Journal of Cardiovascular Surgery
- Vol. 50 (5), 5-5-xxxvii
- https://doi.org/10.4326/jjcvs.50.5.xxxiii
Abstract
ファロー四徴に対する心内修復術成績は非常に良好であり,ほとんどの症例が無症状で成人期に到達するようになったが,遠隔期肺動脈弁機能不全は必発であり,それに対する治療計画が重要である.右心不全症状を有する症例に対しては,肺動脈弁置換は拡大した右室容積を縮小させ症状を改善させるが,無症状である右室拡大症例に対しても積極的な治療介入が推奨されるようになってきた.しかし,人工弁の耐久性などの問題により手術適応は慎重にならざるを得ないため,今後,デバイス開発など新しいコンセプトを持った治療戦略を構築する必要がある.This publication has 21 references indexed in Scilit:
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