AORTIC VULVULOPLASTY IN ACQUIRED VALVULAR HEART-DISEASE

Citation
Ba. Konstantinov et al., AORTIC VULVULOPLASTY IN ACQUIRED VALVULAR HEART-DISEASE, Hirurgia, (6), 1993, pp. 45-51
Citations number
NO
Categorie Soggetti
Surgery
Journal title
ISSN journal
00231207
Issue
6
Year of publication
1993
Pages
45 - 51
Database
ISI
SICI code
0023-1207(1993):6<45:AVIAVH>2.0.ZU;2-C
Abstract
On the basis of the results of studying the morphology, biomechanics, and physiology of the aortic root and the cusps of the aortic valve th e authors suggest a substantiated set of surgical manipulations which allow the patient's natural valve to be preserved. Coarse calcinosis o f the cusps and fibrous ring of the aortic root is the only absolute c ontraindication for valvuloplasty. The authors' clinical experience co nsists of the first 100 operations. Hospital mortality - 8.0 %. With i ntraoperative appraisal of hemodynamics, good correction of the abnorm ality was achieved practically in all patients. The maximal follow-up period by April, 1991 was 5.5 years. During that period four patients were again subjected to operation because aortic insufficiency recurre d. The authors recommend their experience with plastic operations on t he aortic valve for wide clinical application.