循環器ジャーナル69巻1号

2021年01月発行

特集 これからの高齢者診療—循環器医が人生100年時代にどう向き合うか？ Ⅱ．高齢者に対するintensive care

―紙上ディベート―弁膜症：外科的立場

著者： 松浦馨¹ 松宮護郎¹

所属機関： ¹千葉大学医学部附属病院心臓血管外科

ページ範囲：P.80 - P.85

Point
・手術の低侵襲化とカテーテル治療の進化によって，高齢者の弁膜症に対してもリスクやfrailtyなど多方面から評価したうえで治療適応を検討するようになり，全体的に適応は拡大傾向にある．
・外科医の役割は多岐にわたり，適応評価に参画するだけでなく，低侵襲化する外科手術のクオリティの向上や複雑化するconventional手術の安全性の担保とともにカテーテル治療を熟知し，また参加することが求められている．

参考文献

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