Registration Number
0218U003088,
0115U002310
, R & D reports
Title
To develop the tactics of surgical treatment of traumatic mitral heart dseases on the basis of researches of the remote postoperative period
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Head
Popov Volodymyr,
Registration Date
16-01-2018
Organization
M.M.Amosov National Institute of Cardio-Vascular Surgery of the Academy of Medical Sciences of Ukraine
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In the analysis of remote results of surgical correction of mitral insufficiency due to the violation of the integrity of the chordate-papillary apparatus, it has been proved that the plastic of the valve has advantages over the prosthetics by such criteria as survival, absence of thromboembolic complications. At the same time, valve dysfunction in the remote period was more frequent in this group. It is shown that the most favorable anatomical variant for plastic interference is the isolated lesion of the segment P2 of the posterior leaf, and with its defeat of the anterior or two valve openings, its prosthesis is preferred. There is a clear dependence on the preservation of sinus rhythm in the long term period and the stability of good and satisfactory results in both groups. Accordingly, in the course of the complex reconstruction of the left departments (preservation of subvalvular space during prosthetics, restoration of sinus rhythm, reduction of the left atrium with its atriomegali), the results of the remote operations were better in both groups than in the isolated correction of the valve defect.
Product Description
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Большак Олександр Олександрович
Гуменюк Богдан Миколайович
Мнішенко Володимир Іванович
Попов Володимир Владиславович
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2020-04-02