Registration Number
0218U002436,
0113U002205
, R & D reports
Title
Reconstructive surgery of congenital malformations of great arteries
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Head
Rudenko N. М.,
Registration Date
06-03-2018
Organization
National Medical Academy of Post-Graduate Education named after P.L.Shupyk
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Based on the analysis of the results of modern methods of studying the structures of the heart, morphological features of major vessel defects were specified; algorithms for diagnosis of major vessel defects in newborns were developed; the high informativeness of the echocardiography method in the morphometric evaluation of the structures of the right heart departments was proved by the presence of correlation between echocardiography and MRI scores, which allowed using this method to select the surgical treatment of patients. Based on the determination of the correlation of morphometric values of the heart structures by use of the method of echocardiography, prognostic criteria for successful correction were determined; certain risk factors that complicate the natural course of the defect and worsen the results of surgical treatment were revealed; certain indications and contraindications for various types of surgical treatment of patients with congenital malformations of major vessels were established; On the basis of direct and remote results of operations, criteria for assessing the effectiveness of surgical interventions were determined. The studies have shown that the benefit from endovascular methods for correction of pulmonary blood flow with favorable anatomy exceeds that one which was achieved with standard cardiosurgical techniques. The implementation and careful observance of the recommendations in the diagnostics and evaluation of anatomy of the defect, preoperative management of patients, prevention of complications, the use of advanced techniques of endovascular interventions, technical innovations during the interventions allowed reducing the mortality rate in the treatment of some heart defects by 8 times.
Product Description
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Ємець І. М.
Артеменко Є. О.
Доронін О. В.
Романюк О. М.
Серденко Б. Б.
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2020-04-02
