{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,8,26]],"date-time":"2023-08-26T02:56:04Z","timestamp":1693018564055},"reference-count":19,"publisher":"Akademiai Kiado Zrt.","issue":"Supplement-1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2008,5,1]]},"abstract":"<jats:title>Absztrakt<\/jats:title>\n        <jats:p>C\u00e9lkit\u0171z\u00e9s: A szerz\u0151k visszatekint\u0151 \u00e9s \u00f6sszehasonl\u00edt\u00f3 tanulm\u00e1nyukban keresik a v\u00e1laszt a fiatalkori aortabillenty\u0171-hib\u00e1k Ross-f\u00e9le autograft-, illetve mechanikus m\u0171billenty\u0171 be\u00fcltet\u00e9s javallataira a hossz\u00fa t\u00e1v\u00fa eredm\u00e9nyek alapj\u00e1n. Beteganyag, m\u00f3dszerek: A szerz\u0151k 1992\u20132002 k\u00f6z\u00f6tt 34 fiatal (18\u201335 \u00e9ves) beteget oper\u00e1ltak s\u00falyos aortavitium miatt. Egyar\u00e1nt 17-17 betegn\u00e9l Ross-m\u0171t\u00e9t, illetve mechanikus aortam\u0171billenty\u0171 be\u00fcltet\u00e9s t\u00f6rt\u00e9nt. H\u00e9t beteg anat\u00f3miai rendelleness\u00e9gek (m\u00e9retar\u00e1nytalans\u00e1g 3, k\u00f3ros falszerkezet 2, rendellenes koszor\u00fa\u00e9r 2 eset), \u00f6t beteg pedig \u00e9lettani okok (kezelhetetlen hypertonia 2, rossz bal kamra 2, akt\u00edv endocarditis 1 eset) miatt volt alkalmatlan a tervezett Ross-m\u0171t\u00e9t elv\u00e9gz\u00e9s\u00e9re. H\u00e1rom tov\u00e1bbi betegn\u00e9l saj\u00e1t k\u00e9r\u00e9sre, k\u00e9t esetben megfelel\u0151 m\u00e9ret\u0171 pulmonalis homograft hi\u00e1nya k\u00f6vetkezt\u00e9ben t\u00f6rt\u00e9nt mechanikus m\u0171billenty\u0171 be\u00fcltet\u00e9se. Eredm\u00e9nyek: Korai hal\u00e1loz\u00e1s egyik csoportban sem volt, \u00e9s valamennyi beteget ut\u00e1nvizsg\u00e1lt\u00e1k (ut\u00e1nk\u00f6vet\u00e9si id\u0151 64,4 \u00b1 26,8 h\u00f3nap). Az aortam\u0171billenty\u0171-be\u00fcltet\u00e9sen \u00e1tesett betegek k\u00f6r\u00e9ben k\u00e9t k\u00e9s\u0151i hal\u00e1leset volt (m\u0171billenty\u0171-endocarditis okozta sepsis, illetve v\u00e9gst\u00e1dium\u00fa sz\u00edvel\u00e9gtelens\u00e9g). A m\u0171billenty\u0171s csoportban az ut\u00e1nk\u00f6vet\u00e9si id\u0151 alatt \u00f6sszesen k\u00e9t betegn\u00e9l alakult ki m\u0171billenty\u0171-endocarditis, k\u00e9t m\u00e1sik betegn\u00e9l pedig a v\u00e9ralvad\u00e1sg\u00e1tl\u00e1ssal kapcsolatos sz\u00f6v\u0151dm\u00e9ny l\u00e9pett fel. Ross-m\u0171t\u00e9tet k\u00f6vet\u0151en egy betegn\u00e9l alakult ki korai endocarditis (fert\u0151z\u00f6tt homograft k\u00f6vetkezt\u00e9ben), egy m\u00e1sik kisebb t\u00fcd\u0151emboli\u00e1t szenvedett. Egy esetben \u00e9szleltek enyhe aortael\u00e9gtelens\u00e9get a Ross-m\u0171t\u00e9tet k\u00f6vet\u0151en. A bal kamra v\u00e9gdiastol\u00e9s \u00e1tm\u00e9r\u0151je \u00e9s falvastags\u00e1ga a Ross-m\u0171t\u00e9tet k\u00f6vet\u0151en jelent\u0151sen kisebbnek bizonyult, mint a m\u0171billenty\u0171-be\u00fcltet\u00e9st k\u00f6vet\u0151en (<jats:italic>p<\/jats:italic> = 0,049 \u00e9s <jats:italic>p<\/jats:italic> = 0,017). K\u00f6vetkeztet\u00e9sek: Ross-m\u0171t\u00e9tet k\u00f6vet\u0151en a bal kamrai izomt\u00f6meg gyorsabban \u00e9s nagyobb m\u00e9rt\u00e9kben cs\u00f6kken, mint m\u0171billenty\u0171-be\u00fcltet\u00e9st k\u00f6vet\u0151en. A t\u00f6k\u00e9letesebb bal kamrai helyre\u00e1ll\u00edt\u00f3d\u00e1s \u00e9s a v\u00e9ralvad\u00e1sg\u00e1tl\u00e1s sz\u00fcks\u00e9gtelens\u00e9ge miatt a fiatal betegek minden tekintetben teljesen norm\u00e1lis \u00e9letm\u00f3dot folytathatnak, de a Ross-m\u0171t\u00e9t nem minden betegn\u00e9l v\u00e9gezhet\u0151 el biztons\u00e1ggal.<\/jats:p>","DOI":"10.1556\/maseb.61.2008.suppl.7","type":"journal-article","created":{"date-parts":[[2008,5,27]],"date-time":"2008-05-27T01:01:06Z","timestamp":1211850066000},"page":"23-27","source":"Crossref","is-referenced-by-count":3,"title":["Ross-m\u0171t\u00e9t vagy mechanikus m\u0171billenty\u0171 be\u00fcltet\u00e9s fiatalkori aorta vitiumos betegekn\u00e9lr"],"prefix":"10.1556","volume":"61","author":[{"given":"Zsolt","family":"Nagy","sequence":"first","affiliation":[{"name":"1 Kardiol\u00f3giai Int\u00e9zet, Sz\u00edvseb\u00e9szeti K\u00f6zpont, Debreceni Egyetem, Orvos- \u00e9s Eg\u00e9szs\u00e9gtudom\u00e1nyi Centrum, 4032, Debrecen, M\u00f3ricz Zs. krt. 22."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin G.","family":"Watterson","sequence":"additional","affiliation":[{"name":"2 Yorkshire Heart Centre, Leeds Teaching Hospitals, Leeds, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"1","doi-asserted-by":"crossref","first-page":"956","DOI":"10.1016\/S0140-6736(67)90794-5","article-title":"Replacement of aortic and mitral valves with a pulmonary autograft","volume":"2","author":"Ross DN","year":"1967","journal-title":"Lancet"},{"key":"2","doi-asserted-by":"crossref","first-page":"2206","DOI":"10.1161\/01.CIR.96.7.2206","article-title":"Pulmonary autograft procedure for aortic valve disease. 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