OPTIONS FOR SURGICAL TREATMENT OF AORTIC VALVE DEFECTS IN PATIENTS WITH A NARROW FIBROUS RING
Background. The review traces the main successes and problems in reconstructive surgery of aortic valve defects with a narrow fibrous ring of the aortic valve. Objective: to study the problem of patient-prosthesis mismatch (PPM) in the surgical treatment of the aortic valve defect with a narrow fib...
| Main Authors: | , |
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| Format: | Article |
| Language: | Belarusian |
| Published: |
Grodno State Medical University
2019-12-01
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| Series: | Žurnal Grodnenskogo Gosudarstvennogo Medicinskogo Universiteta |
| Subjects: | |
| Online Access: | http://journal-grsmu.by/index.php/ojs/article/view/2474 |
| _version_ | 1828766128850075648 |
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| author | Lazuta S. S. Spiridonov S. V. |
| author_facet | Lazuta S. S. Spiridonov S. V. |
| author_sort | Lazuta S. S. |
| collection | DOAJ |
| description | Background. The review traces the main successes and problems in reconstructive surgery of aortic valve defects with a narrow fibrous ring of the aortic valve.
Objective: to study the problem of patient-prosthesis mismatch (PPM) in the surgical treatment of the aortic valve defect with a narrow fibrous ring and the ways to overcome this problem.
Material and methods: literature sources on this subject by domestic and foreign authors were analyzed.
Results. Patient-prosthesis mismatch is a risk factor for patients undergoing aortic valve replacement and is associated with poor hemodynamic and symptomatic status.
Conclusion. Surgeons should make every effort to prevent the occurrence of PPM. However, it is possible to prevent PPM using new generation prostheses, frameless bioprostheses (for example, Perceval) or allografts while performing the Osaki operation or its modification, or expanding the aortic valve ring in order to implant a larger prosthesis. |
| first_indexed | 2024-12-11T06:58:32Z |
| format | Article |
| id | doaj.art-ff68f29ad4ab4dc586f0f38ab258ada9 |
| institution | Directory Open Access Journal |
| issn | 2221-8785 2413-0109 |
| language | Belarusian |
| last_indexed | 2024-12-11T06:58:32Z |
| publishDate | 2019-12-01 |
| publisher | Grodno State Medical University |
| record_format | Article |
| series | Žurnal Grodnenskogo Gosudarstvennogo Medicinskogo Universiteta |
| spelling | doaj.art-ff68f29ad4ab4dc586f0f38ab258ada92022-12-22T01:16:40ZbelGrodno State Medical UniversityŽurnal Grodnenskogo Gosudarstvennogo Medicinskogo Universiteta2221-87852413-01092019-12-0117663063610.25298/2221-8785-2019-17-6-630-636OPTIONS FOR SURGICAL TREATMENT OF AORTIC VALVE DEFECTS IN PATIENTS WITH A NARROW FIBROUS RINGLazuta S. S.0Spiridonov S. V.1Grodno Regional Clinical Cardiology CenterRepublican Scientific and Practical Center "Cardiology"Background. The review traces the main successes and problems in reconstructive surgery of aortic valve defects with a narrow fibrous ring of the aortic valve. Objective: to study the problem of patient-prosthesis mismatch (PPM) in the surgical treatment of the aortic valve defect with a narrow fibrous ring and the ways to overcome this problem. Material and methods: literature sources on this subject by domestic and foreign authors were analyzed. Results. Patient-prosthesis mismatch is a risk factor for patients undergoing aortic valve replacement and is associated with poor hemodynamic and symptomatic status. Conclusion. Surgeons should make every effort to prevent the occurrence of PPM. However, it is possible to prevent PPM using new generation prostheses, frameless bioprostheses (for example, Perceval) or allografts while performing the Osaki operation or its modification, or expanding the aortic valve ring in order to implant a larger prosthesis.http://journal-grsmu.by/index.php/ojs/article/view/2474aortic valvenarrow fibrous ringpatient-prosthesis mismatch |
| spellingShingle | Lazuta S. S. Spiridonov S. V. OPTIONS FOR SURGICAL TREATMENT OF AORTIC VALVE DEFECTS IN PATIENTS WITH A NARROW FIBROUS RING Žurnal Grodnenskogo Gosudarstvennogo Medicinskogo Universiteta aortic valve narrow fibrous ring patient-prosthesis mismatch |
| title | OPTIONS FOR SURGICAL TREATMENT OF AORTIC VALVE DEFECTS IN PATIENTS WITH A NARROW FIBROUS RING |
| title_full | OPTIONS FOR SURGICAL TREATMENT OF AORTIC VALVE DEFECTS IN PATIENTS WITH A NARROW FIBROUS RING |
| title_fullStr | OPTIONS FOR SURGICAL TREATMENT OF AORTIC VALVE DEFECTS IN PATIENTS WITH A NARROW FIBROUS RING |
| title_full_unstemmed | OPTIONS FOR SURGICAL TREATMENT OF AORTIC VALVE DEFECTS IN PATIENTS WITH A NARROW FIBROUS RING |
| title_short | OPTIONS FOR SURGICAL TREATMENT OF AORTIC VALVE DEFECTS IN PATIENTS WITH A NARROW FIBROUS RING |
| title_sort | options for surgical treatment of aortic valve defects in patients with a narrow fibrous ring |
| topic | aortic valve narrow fibrous ring patient-prosthesis mismatch |
| url | http://journal-grsmu.by/index.php/ojs/article/view/2474 |
| work_keys_str_mv | AT lazutass optionsforsurgicaltreatmentofaorticvalvedefectsinpatientswithanarrowfibrousring AT spiridonovsv optionsforsurgicaltreatmentofaorticvalvedefectsinpatientswithanarrowfibrousring |