SUMMARY OF LONG TERM EXPERIENCE IN ACQUIRED HEART DISEASES SURGERY
In this article we discuss the results of surgical treatment in patients with different acquired heart diseases. Procedures ranged from valve reconstruction, coronary artery revascularization, surgical repair or graft repair of the thoracic aorta to hybrid surgery in patients with combined acquired...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | Russian |
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Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov
2014-09-01
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| Series: | Vestnik Transplantologii i Iskusstvennyh Organov |
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| Online Access: | https://journal.transpl.ru/vtio/article/view/446 |
| _version_ | 1797872092920676352 |
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| author | M. L. Semenovsky G. A. Akopov G. V. Aniskevich E. K. Mekhtiev N. N. Tarabarko D. A. Belokurov |
| author_facet | M. L. Semenovsky G. A. Akopov G. V. Aniskevich E. K. Mekhtiev N. N. Tarabarko D. A. Belokurov |
| author_sort | M. L. Semenovsky |
| collection | DOAJ |
| description | In this article we discuss the results of surgical treatment in patients with different acquired heart diseases. Procedures ranged from valve reconstruction, coronary artery revascularization, surgical repair or graft repair of the thoracic aorta to hybrid surgery in patients with combined acquired heart valve diseases and coronary artery diseases. The implementation of biological grafts for aortic repair in 147 cases was successfully performed with low in-hospital mortality (9.8%). Hybrid procedures in patients older than 70 years allowed reducing hospital mortality rate in 3 times in comparison with the standard surgery: 4% vs. 12%, respectively. We developed and introduced into clinical practice the original protocol for patients with aortal valve disease and low left ventricularejection fraction (mean – 24.3%). Due to this protocol 46 procedures were performed, in-hospital mortality was 4.4%. Cardiac surgery in patients on dialysis is one of the priorities in our practice. Our experience demonstrates that short waiting time of kidney transplantation after heart valve replacement improves long-term outcomes. |
| first_indexed | 2024-04-10T00:53:19Z |
| format | Article |
| id | doaj.art-b566ac2896da48d6a43440c977bbeb62 |
| institution | Directory Open Access Journal |
| issn | 1995-1191 |
| language | Russian |
| last_indexed | 2024-04-10T00:53:19Z |
| publishDate | 2014-09-01 |
| publisher | Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov |
| record_format | Article |
| series | Vestnik Transplantologii i Iskusstvennyh Organov |
| spelling | doaj.art-b566ac2896da48d6a43440c977bbeb622023-03-13T10:37:22ZrusFederal Research Center of Transplantology and Artificial Organs named after V.I.ShumakovVestnik Transplantologii i Iskusstvennyh Organov1995-11912014-09-01163394410.15825/1995-1191-2014-3-39-44388SUMMARY OF LONG TERM EXPERIENCE IN ACQUIRED HEART DISEASES SURGERYM. L. Semenovsky0G. A. Akopov1G. V. Aniskevich2E. K. Mekhtiev3N. N. Tarabarko4D. A. Belokurov5V.I. Shumakov Federal Research Center of Transplantology and Artifi cial Organs of the Ministry of Healthcare of the Russian Federation, Moscow, Russian FederationV.I. Shumakov Federal Research Center of Transplantology and Artifi cial Organs of the Ministry of Healthcare of the Russian Federation, Moscow, Russian FederationV.I. Shumakov Federal Research Center of Transplantology and Artifi cial Organs of the Ministry of Healthcare of the Russian Federation, Moscow, Russian FederationV.I. Shumakov Federal Research Center of Transplantology and Artifi cial Organs of the Ministry of Healthcare of the Russian Federation, Moscow, Russian FederationV.I. Shumakov Federal Research Center of Transplantology and Artifi cial Organs of the Ministry of Healthcare of the Russian Federation, Moscow, Russian FederationV.I. Shumakov Federal Research Center of Transplantology and Artifi cial Organs of the Ministry of Healthcare of the Russian Federation, Moscow, Russian FederationIn this article we discuss the results of surgical treatment in patients with different acquired heart diseases. Procedures ranged from valve reconstruction, coronary artery revascularization, surgical repair or graft repair of the thoracic aorta to hybrid surgery in patients with combined acquired heart valve diseases and coronary artery diseases. The implementation of biological grafts for aortic repair in 147 cases was successfully performed with low in-hospital mortality (9.8%). Hybrid procedures in patients older than 70 years allowed reducing hospital mortality rate in 3 times in comparison with the standard surgery: 4% vs. 12%, respectively. We developed and introduced into clinical practice the original protocol for patients with aortal valve disease and low left ventricularejection fraction (mean – 24.3%). Due to this protocol 46 procedures were performed, in-hospital mortality was 4.4%. Cardiac surgery in patients on dialysis is one of the priorities in our practice. Our experience demonstrates that short waiting time of kidney transplantation after heart valve replacement improves long-term outcomes.https://journal.transpl.ru/vtio/article/view/446acquired heart diseaseaortic aneurysmhybrid approachkidney transplantation |
| spellingShingle | M. L. Semenovsky G. A. Akopov G. V. Aniskevich E. K. Mekhtiev N. N. Tarabarko D. A. Belokurov SUMMARY OF LONG TERM EXPERIENCE IN ACQUIRED HEART DISEASES SURGERY Vestnik Transplantologii i Iskusstvennyh Organov acquired heart disease aortic aneurysm hybrid approach kidney transplantation |
| title | SUMMARY OF LONG TERM EXPERIENCE IN ACQUIRED HEART DISEASES SURGERY |
| title_full | SUMMARY OF LONG TERM EXPERIENCE IN ACQUIRED HEART DISEASES SURGERY |
| title_fullStr | SUMMARY OF LONG TERM EXPERIENCE IN ACQUIRED HEART DISEASES SURGERY |
| title_full_unstemmed | SUMMARY OF LONG TERM EXPERIENCE IN ACQUIRED HEART DISEASES SURGERY |
| title_short | SUMMARY OF LONG TERM EXPERIENCE IN ACQUIRED HEART DISEASES SURGERY |
| title_sort | summary of long term experience in acquired heart diseases surgery |
| topic | acquired heart disease aortic aneurysm hybrid approach kidney transplantation |
| url | https://journal.transpl.ru/vtio/article/view/446 |
| work_keys_str_mv | AT mlsemenovsky summaryoflongtermexperienceinacquiredheartdiseasessurgery AT gaakopov summaryoflongtermexperienceinacquiredheartdiseasessurgery AT gvaniskevich summaryoflongtermexperienceinacquiredheartdiseasessurgery AT ekmekhtiev summaryoflongtermexperienceinacquiredheartdiseasessurgery AT nntarabarko summaryoflongtermexperienceinacquiredheartdiseasessurgery AT dabelokurov summaryoflongtermexperienceinacquiredheartdiseasessurgery |