Хірургічне лікування патології аортального клапана та висхідної аорти з використанням мінімально інвазивного доступу

V. V. Vayda; V. I. Kravchenko; I. I. Zhekov; I. M. Kravchenko; V. V. Lazoryshynetz

doi:10.30702/ujcvs/18.31/22(100-102)

V. V. Vayda National M. M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Sciences of Ukraine (Kyiv)
V. I. Kravchenko National M. M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Sciences of Ukraine (Kyiv)
I. I. Zhekov National M. M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Sciences of Ukraine (Kyiv)
I. M. Kravchenko National M. M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Sciences of Ukraine (Kyiv)
V. V. Lazoryshynetz National M. M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Sciences of Ukraine (Kyiv)

DOI: https://doi.org/10.30702/ujcvs/18.31/22(100-102)

Keywords: ministernomy, aortic stenosis, ascending aorta aneurysm, aortic insufficiency

Abstract

Despite the obvious advantages of longitudinal median sternotomy as an operative access to the heart, modernity re-quires cardiac surgeons to perform complex interventions by minimizing surgical trauma with a decrease in time spent by patients in a hospital. Taking into account that the application of minimally invasive access in the correction of aortic valve diseases in combination with the ascending aorta pathology accelerates the functional recovery of patients, this issue requires a careful approach and the only correct choice of treatment.

Purpose. Improvement of the results of surgical treatment of aortic valve and ascending aortic pathology by minimizing surgical trauma, rapid physical and psychosocial rehabilitation of patients.

Materials and methods. Starting from 22.02.2014 to 01.04.2018, 86 patients were treated for the correction of aortic heart disease in combination with an ascending aorta aneurysm or without using the upper J-shaped ministernotomy for access.

Conclusions. The method for correction of aortic valve defects in combination with an ascending aortic aneurysm through minimally invasive access allows to minimize surgical trauma, providing beautiful cosmetic effect and can be applied in clinical practice as an alternative to median sternotomy.

References

1. Ситар Л. Л. Аневризми грудної аорти (клініка, діагностика, лікування) / Ситар Л. Л. – Тернопіль : ТДМУ, 2011. – 167 с. – С. 83–89.

2. Минимально инвазивная хирургия сердца / под ред. Л. А. Бокерия. – М., 2008. – 92 с.

3. Dilatation of the remaining aorta after aortic valve or aortic root replacement in patients with bicuspid aortic valve: a 5-year follow-up / Bengtsson H. et al. // Ann. Thorac. Surg. – 2013. – Vol. 96. – № 1. – P. 43–49.

4. Cutler J., Yacoub M. Minimally invasive techniques in cardiac surgery // J. Thorac. Cardiovasc. Surg. – 2015. – Vol. 105. – № 3. – P. 435–438.

5. Antegrade delivery of stent grafts to treat complex thoracic aortic disease / Roselli E. E., Soltesz E. G., Mastracci T. et al. // Ann Thorac Surg. – 2013. – Vol. 90. – P. 539–546.

Surgical treatment of the pathology of the aortic valve and ascending aorta using minimally invasive access

Abstract

References