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0411U006639,
к.мед.н.
25-10-2011
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Surgical ways to improve left heart function in prosthetic mitral valve
Zhekov Igor I,
popup.head Popov Volodymir V,
popup.opponent Зіньковський Михайло Франційович
popup.opponent Комісаров Сергій Ігорович
Дисертація на здобуття наукового ступеня кандидата медичних наук за спеціальністю 14.01.04 - серцево-судинна хірургія. - Державна Установа "Національний інститут серцево-судинної хірургії ім. М. М. Амосова АМН України", Київ, 2011. Дисертація присвячена вивченню проблем лікування хворих з МВ, розробці, обґрунтуванню та використанню найбільш ефективних методик лікування хворих з цією патологією. Клінічний матеріал ґрунтується на дослідженні 648 дорослих пацієнтів з набутими МВ серця, яким у період з 2000 по 2009 рр. було виконано ПМК. Всі пацієнти оперовані в умовах ШК. У мітральну позицію імплантовані тільки механічні протези. Збереження задньої стулки, крім гемодинамічного ефекту і технічної простоти процедури, дозволяло запобігти розриву задньої стінки ЛШ. Застосування даної методики було можливо практично у всіх хворих, і використовувалося при будь-якому анатомо-гемодинамічному варіанті МВ. Протезування мітрального клапану зі збарюванням ЗСМК в поєднанні з пластикою ЛП (особливо у пацієнтів із ФВ < 45 %), покращувало перебіг як раннього так і віддаленого післяопераційних періодів. Розроблено протокол кардіохірургічного ведення хворих із патологією лівих відділів серця.
2011-10-25
2020-04-04
Updated: 2025-12-08
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