(Outcomes of personalised external aortic root support implantation in 100 patients in the Czech Republic) Article Swipe
Petr Němec
,
Jan Pirk
,
Ivo Skalský
,
Tomáš Matějka
,
Pavel Žáček
,
Tomáš Grus
,
Vilém Rohn
,
Petr Šantavý
,
Alice Krebsová
,
Ondřej Szárszoi
,
Lydie Tauchenová
,
Daniela Žáková
,
Radka Kočková
,
Petr Fila
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.33678/cor.2022.045
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.33678/cor.2022.045
Dilatace kořene a/nebo ascendentní aorty je spjata s vyšším rizikem akutní disekce. U nemocných bez chlopenní vady, kteří nesplňují kritéria pro její náhradu, byla v posledních letech zavedena do praxe metoda PEARS (personalized external aortic root support). Spočívá v implantaci na míru vyrobené dakronové síťky, která zabrání progresi dilatace aorty. V práci jsou prezentovány výsledky prvních 100 implantací této síťky u pacientů v České republice. Soubor nemocných a metodika: Soubor tvořilo 77 mužů a 23 žen, průměrného věku 40,4 ± 15,3 roku. U 87 pacientů byla prokázána geneticky podmíněná aortopatie (porucha pojivové tkáně a/nebo bikuspidální aortální chlopeň). U 14 pacientů byla aortální regurgitace větší než 1. st, ale u žádného větší než 2. st. Maximální rozměry aortálního kořene a ascendentní aorty byly 60, resp. 59 mm. Výsledky: U všech pacientů byla síťka úspěšně implantována, u 35 za srdeční akce bez mimotělního oběhu. V časném pooperačním průběhu byly u 35 pacientů přítomny klinické nebo laboratorní známky zánětu, u 23 pacientů přechodné supraventrikulární poruchy srdečního rytmu. Průměrná doba hospitalizace činila 8,4 ± 2,4 dne a žádný pacient v časném pooperačním průběhu nezemřel. Pacienti byli sledováni v průměru 18,1 ± 17,2 měsíce a na kontrolním vyšetření došlo ve srovnání s předoperačními hodnotami k signifikantnímu zmenšení rozměrů kořene, sinotubulární junkce i ascendentní aorty. Závěr: Střednědobé sledování pacientů s dilatací aorty po implantaci PEARS ukázalo, že tato metoda brání dilataci aorty a je dobrým preventivním opatřením před možnou aortální disekcí. © 2022, ČKS.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.33678/cor.2022.045
- http://e-coretvasa.cz/doi/10.33678/cor.2022.045.pdf
- OA Status
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- References
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- Related Works
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- OpenAlex ID
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Raw OpenAlex JSON
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https://openalex.org/W4311450991Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.33678/cor.2022.045Digital Object Identifier
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(Outcomes of personalised external aortic root support implantation in 100 patients in the Czech Republic)Work title
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articleOpenAlex work type
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enPrimary language
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2022Year of publication
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2022-12-14Full publication date if available
- Authors
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Petr Němec, Jan Pirk, Ivo Skalský, Tomáš Matějka, Pavel Žáček, Tomáš Grus, Vilém Rohn, Petr Šantavý, Alice Krebsová, Ondřej Szárszoi, Lydie Tauchenová, Daniela Žáková, Radka Kočková, Petr FilaList of authors in order
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https://doi.org/10.33678/cor.2022.045Publisher landing page
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https://e-coretvasa.cz/doi/10.33678/cor.2022.045.pdfDirect link to full text PDF
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
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https://e-coretvasa.cz/doi/10.33678/cor.2022.045.pdfDirect OA link when available
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Medicine, Aortic root, Internal medicine, Cardiology, Gynecology, AortaTop concepts (fields/topics) attached by OpenAlex
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