Children's Heart Issues in Marfan, Loeys Dietz, and vEDS - Virtual Symposium Series (4/9/19)
53:44-55:08
Q:
It's a question about minimally invasive heart surgery to repair valves and she's wondering if it might be also possible to use minimally invasive methods for aortic roof repair, you know, so that many of these kids would not have to go through open-heart surgery.
低侵襲手術による大動脈基部の修復は可能かというご質問です。これができれば、多くの子供達が開胸手術をせずに済むのではないかとのことです。
A:
Yeah, I mean, I think there is some work looking at minimally invasive work for the mitral valve, but not so much for the aorta right now because in patients with connective tissue conditions, we have to replace the whole aorta and that cannot be done with a minimally invasive procedure.
僧帽弁手術では、低侵襲の手術法についていくつかの研究か行われていると思います。ですが大動脈に関してはそれほど行われていません。というのは、結合組織疾患の患者さんでは、大動脈全体を交換する必要があり、低侵襲的な方法では不可能だからです。
Depending on what the mitral valve looks like, depending on the surgical skills of the surgeon and the preference, you know, I can, I can, I can foresee, you know, more mitral cases being done with "minimally invasive" procedure."
僧帽弁の見た目や外科医の手術スキル、好みなどによりますが、僧帽弁に関しては「低侵襲的な」方法で行われる手術が増えていくと思います。
But it really depends on, you know, what the valve looks like. Many of these valves, particularly in patients with sort of early presenting neonatal Marfan syndrome, can be difficult to repair and so certainly in those cases where patients are young, you know, these surgical techniques are not going to be applicable.
ですが、低侵襲手術ができるかどうかは僧帽弁の状態に大きく依存します。多くの場合、特に新生児マルファン症候群では僧帽弁の修復手術が難しく、こうした小さな子どもでは、低侵襲手術は適応とならないでしょう。
The Marfan Foundation did not participate in the translation of these materials and does not in any way endorse them. If you are interested in this topic, please refer to our website, Marfan.org, for materials approved by our Professional Advisory Board.
The Marfan Foundation は、当翻訳には関与しておらず、翻訳内容に関してはいかなる承認も行っておりません。このトピックに興味をお持ちの方は、Marfan.org にアクセスし、当協会の専門家から成る諮問委員会が承認した内容をご参照ください。
