Li Zhimin,Li Xiaofeng.Research advances of recoarctation after repairing coarctation of the aorta[J].Journal of Clinical Pediatric Surgery,2021,20(06):545-549.[doi:10.12260/lcxewkzz.2021.06.008]
主动脉缩窄手术后再狭窄的研究进展
- Title:
- Research advances of recoarctation after repairing coarctation of the aorta
- 分类号:
- R541;R459.51;R726.1
- 摘要:
- 对于婴幼儿主动脉缩窄,目前已有成熟的手术技术,且方法多样,临床上会根据具体病理解剖特点及患者情况选择合适的手术方法。但数年甚至数十年后发生的晚期并发症仍然影响着患者的预后。本文着重阐述主动脉缩窄患者手术后再狭窄的研究进展,包括可能的原因、预测手段、再狭窄的临床表现及影像学表现、目前主要治疗方式,为改善主动脉缩窄患者临床预后提供一些思路。
- Abstract:
- Nowadays diverse pediatric surgical techniques of repairing coarctation of the aorta have gradually matured in clinical practices.According to specific characteristic of pathological anatomy and patient conditions,surgeons may select an ideal approach.However,late postoperative complications affect prognosis.This review focused upon the latest research findings of postopreative recoarctation for children undergoing repairing coarctation of the aorta,including probable causes,predicating methods,clinical manifestations,imaging findings and major interventions.It may help to improve the prognosis of children with recoarctation.
参考文献/References:
1 丁文祥,苏肇伉.现代小儿心脏外科学[M].济南:山东科学技术出版社,2013,399-405. Ding WX,Su ZK.Modern Pediatric Cardiac Surgery[M].Jinan:Shandong Science & Technology Publishing House,2013,399-405.
2 Dijkema EJ,Leiner T,Grotenhuis HB.Diagnosis,imaging and clinical management of aortic coarctation[J].Heart,2017,103(15):1148-1155.DOI:10.1136/heartjnl-2017-311173.
3 Freylikhman O,Tatarinova T,Smolina N,et al.Variants in the NOTCH1 gene in patients with aortic coarctation[J].Congenit Heart Dis,2014,9(5):391-396.DOI:10.1111/chd.12157.
4 Fox EB,Latham GJ,Ross FJ,et al.Perioperative and anesthetic management of coarctation of the aorta[J].Semin Cardiothorac Vasc Anesth,2019,23(2):212-224.DOI:10.1177/1089253218821953.
5 Saxena A.Recurrent coarctation:interventional techniques and results[J].World J Pediatr Congenit Heart Surg,2015,6(2):257-265.DOI:10.1177/2150135114566099.
6 Gr?ndahl C,Pedersen TA,Hjortdal VE.The medium-term effects of treatment for mild aortic recoarctation[J].World J Pediatr Congenit Heart Surg,2017,8(1):55-61.DOI:10.1177/2150135116668334.
7 Tulzer A,Mair R,Kreuzer M,et al.Outcome of aortic arch reconstruction in infants with coarctation:Importance of operative approach[J].J Thorac Cardiovasc Surg,2016,152(6):1506-1513.e1.DOI:10.1016/j.jtcvs.2016.08.029.
8 IJsselhof R,Liu H,Pigula F,et al.Rates of interventions in isolated coarctation repair in neonates versus infants:does age matter?[J].Ann Thorac Surg,2019,107(1):180-186.DOI:10.1016/j.athoracsur.2018.07.016.
9 高晓音,吴春.主动脉缩窄的治疗进展[J].临床小儿外科杂志,2014,13(6):557-559.DOI:10.3969/j.issn.1671-6353.2014.06.028. Gao XY,Wu C.Recent advances in the treatment of aortic coarctation[J].J Clin Ped Sur,2014,13(6):557-559.DOI:3969/j.issn.1671-6353.2014.06.028.
10 Maia MM,Aiello VD,Barbero-Marcial M,et al.Coarctation of the aorta corrected during childhood.Clinical aspects during follow-up[J].Arq Bras Cardiol,2000,74(2):167-180.DOI:10.1590/s0066-782x2000000200008.
11 Dodge-Khatami A,Backer CL,Mavroudis C.Risk factors for recoarctation and results of reoperation:a 40-year review[J].J Card Surg,2000,15(6):369-377.DOI:10.1111/j.1540-8191.2000.tb01295.x.
12 Gropler MRF,Marino BS,Carr MR,et al.Long-term outcomes of coarctation repair through left thoracotomy[J].Ann Thorac Surg,2019,107(1):157-164.DOI:10.1016/j.athoracsur.2018.07.027.
13 Dijkema EJ,Sieswerda GT,Takken T,et al.Long-term results of balloon angioplasty for native coarctation of the aorta in childhood in comparison with surgery[J].Eur J Cardiothorac Surg,2018,53(1):262-268.DOI:10.1093/ejcts/ezx239.
14 吴雨昊,辛良靖,周悦航,等.球囊扩张术与外科手术治疗儿童主动脉缩窄疗效的Meta分析[J].中国循环杂志,2019,34(10):1005-1012.DOI:10.3969/j.issn1000-3614.2019.10.013. Wu YH,Xing LJ,Zhou YH,et al.Efficacy comparison between balloon angioplasty versus surgery in children with coarctation of the aorta:a Meta-analysis[J].Chinese Circulation Journal,October,2019,34(10):1005-1012.DOI:10.3969/j.issn1000-3614.2019.10.013.
15 Costopoulos K,Philip J,Lopez-Colon D,et al.A single centre experience with an evolving approach for the repair of coarctation of the aorta[J].Cardiol Young,2019,29(7):885-887.DOI:10.1017/S104795111900101X.
16 Moulaert AJ,Bruins CC,Oppenheimer-Dekker A.Anomalies of the aortic arch and ventricular septal defects[J].Circulation,1976,53(6):1011-1015.DOI:10.1161/01.cir.53.6.1011.
17 Karl TR,Sano S,Brawn W,et al.Repair of hypoplastic or interrupted aortic arch via sternotomy[J].J Thorac Cardiovasc Surg,1992,104(3):688-695.
18 Brouwer MH,Cromme-Dijkhuis AH,Ebels T,et al.Growth of the hypoplastic aortic arch after simple coarctation resection and end-to-end anastomosis[J].J Thorac Cardiovasc Surg,1992,104(2):426-433.
19 Langley SM,Sunstrom RE,Reed RD,et al.The neonatal hypoplastic aortic arch:decisions and more decisions[J].Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu,2013,16(1):43-51.DOI:10.1053/j.pcsu.2013.01.008.
20 Dias MQ,Barros A,Leite-Moreira A,et al.Risk factors for recoarctation and mortality in infants submitted to aortic coarctation repair:a systematic review[J].Pediatr Cardiol,2020,41(3):561-575.DOI:10.1007/s00246-020-02319-w.
21 Gray WH,Wells WJ,Starnes VA,et al.Arch augmentation via median sternotomy for coarctation of aorta with proximal arch hypoplasia[J].Ann Thorac Surg,2018,106(4):1214-1219.DOI:10.1016/j.athoracsur.2018.04.025.
22 Bechtold C,Purbojo A,Schwitulla J,et al.Aortic arch reconstruction in neonates with biventricular morphology:increased risk for development of recoarctation by use of autologous pericardium[J].Thorac Cardiovasc Surg,2015,63(5):373-379.DOI:10.1055/s-0034-1396532.
23 Brown ML,Burkhart HM,Connolly HM,et al.Late outcomes of reintervention on the descending aorta after repair of aortic coarctation[J].Circulation,2010,122(11Suppl):S81-S84.DOI:10.1161/CIRCULATIONAHA.109.925172.
24 Roussin R,Belli E,Lacour-Gayet F,et al.Aortic arch reconstruction with pulmonary autograft patch aortoplasty[J].J Thorac Cardiovasc Surg,2002,123(3):443-450.DOI:10.1067/mtc.2002.120733.
25 徐海涛,王强,李巅远,等.心包补片和肺动脉补片治疗婴幼儿主动脉缩窄合并主动脉弓发育不良的疗效比较[J].中国循环杂志,2016,31(3):280-284.DOI:10.3969/j.issn.1000-3614.2016.03.018. Xu HT,Wang Q,Li DY,et al.Comparative study of autologous pericardium patch and pulmonary patch for treating aortic coarctation with hypoplastic aortic arch in infants and toddlers[J].Chinese Circulation Journal,March,2016,31(3):280-284.DOI:10.3969/j.issn.1000-3614.2016.03.018.
26 Lehnert A,Villemain O,Gaudin R,et al.Risk factors of mortality and recoarctation after coarctation repair in infancy[J].Interact Cardiovasc Thorac Surg,2019,29(3):469-475.DOI:10.1093/icvts/ivz117.
27 Adamson G,Karamlou T,Moore P,et al.Coarctation index predicts recurrent aortic arch obstruction following surgical repair of coarctation of the aorta in infants[J].Pediatr Cardiol,2017,38(6):1241-1246.DOI:10.1007/s00246-017-1651-4.
28 Mery CM,Guzmán-Pruneda FA,Trost JG Jr,et al.contemporary results of aortic coarctation repair through left thoracotomy[J].Ann Thorac Surg,2015,100(3):1039-1046.DOI:10.1016/j.athoracsur.2015.04.129.
29 Rose-Felker K,Robinson JD,Backer CL,et al.Preoperative use of CT angiography in infants with coarctation of the aorta[J].World J Pediatr Congenit Heart Surg,2017,8(2):196-202.DOI:10.1177/2150135116683929.
30 Chessa M,Dindar A,Vettukattil JJ,et al.Balloon angioplasty in infants with aortic obstruction after the modified stage I Norwood procedure[J].Am Heart J,2000,140(2):227-231.DOI:10.1067/mhj.2000.108238.
31 Saxena A.Recurrent coarctation:interventional techniques and results[J].World J Pediatr Congenit Heart Surg,2015,6(2):257-265.DOI:10.1177/2150135114566099.
32 Fawzy ME,Dunn B,Galal O,et al.Balloon coarctation angioplasty in adolescents and adults:early and intermediate results[J].Am Heart J,1992,124(1):167-171.DOI:10.1016/0002-8703(92)90936-p.
33 Brzezinska-Rajszys G.Stents in treatment of aortic coarctation and recoarctation in small children[J].Int J Cardiol,2018,263:40-41.DOI:10.1016/j.ijcard.2018.03.141.
34 Batlivala SP,Goldstein BH.Current transcatheter approaches for the treatment of aortic coarctation in children and adults[J].Interv Cardiol Clin,2019,8(1):47-58.DOI:10.1016/j.iccl.2018.08.001.
35 Benomrane S,Soumer K,Khayati A.Adolescent coarctation of aorta treated with subclavian-descending aorta bypass grafting[J].Cardiol Young,2015,25(7):1290-1292.DOI:10.1017/S1047951114002340.
相似文献/References:
[1]刘钢高昕刘树立黄柳明王伟邵培侯文英张军李龙.胆道闭锁葛西手术后肝内胆管扩张的治疗与预后分析[J].临床小儿外科杂志,2010,9(03):0.
LIU Gang,GAO Xin,LIU Shu-li,et al.The managements and prognosis of intrahepatic biliary dilatation with biliary atresia after Kasai procedure[J].Journal of Clinical Pediatric Surgery,2010,9(06):0.
[2]潘静,郑永钦,佘锦标,等.胆道闭锁术后肝内胆管囊性扩张的诊治[J].临床小儿外科杂志,2008,7(04):0.
[3]李志富 张泽俊 连松. 儿童手术后肠套叠29例分析[J].临床小儿外科杂志,2011,10(04):308.
[J].Journal of Clinical Pediatric Surgery,2011,10(06):308.
[4]徐万华 杨志林 尹鉴淳 王浩. 有腹股沟区手术史的隐睾患儿诊疗分析[J].临床小儿外科杂志,2012,11(02):103.
[5]潘伟华 施诚仁 吴晔明 王俊. 儿童腹部实体肿瘤术后乳糜腹的处理[J].临床小儿外科杂志,2012,11(04):247.
[J].Journal of Clinical Pediatric Surgery,2012,11(06):247.
[6]仇杰 费忠化 刘宏生. 婴幼儿先心病术后并发纵膈气肿临床分析[J].临床小儿外科杂志,2012,11(04):260.
[J].Journal of Clinical Pediatric Surgery,2012,11(06):260.
[7]舒仕瑜,张智恩,陈功,等.先天性膈疝患儿手术后近期肺功能的临床观察[J].临床小儿外科杂志,2017,16(05):444.
[8]黄文凯,李雪丽,张瑾,等.先天性巨结肠手术后近期并发症的发生率及危险因素分析[J].临床小儿外科杂志,2018,17(02):99.
Huang Wenkai,Li Xueli,Zhang Jin,et al.Prevalence and risk factors of the early complications after surgery of Hirschprung’s disease:a retrospective cohort study.[J].Journal of Clinical Pediatric Surgery,2018,17(06):99.
[9]冉旭东,徐永根,廖健毅,等.非胸腔镜辅助下Nuss手术治疗儿童漏斗胸的临床研究[J].临床小儿外科杂志,2018,17(04):286.
Ran Xudong,Xu Yonggen,Liao Jianyi,et al.Clinical study of pectus excavatum by nonthoracoscopic assisted Nuss procedure.[J].Journal of Clinical Pediatric Surgery,2018,17(06):286.
[10]何文飞,张红梅,王城,等.基于阴茎发育规律的儿童包皮环切术式探讨[J].临床小儿外科杂志,2018,17(05):358.
He Wenfei,Zhang Hongmei,Wang Cheng,et al.Prospective analysis of selecting penile diameter,circumcision stapler and foreskin cerclage in children.[J].Journal of Clinical Pediatric Surgery,2018,17(06):358.
备注/Memo
收稿日期:2020-09-27;。
通讯作者:李晓峰,Email:doctorlzm2020@163.com