Results of the valve-preserving operations in the patients, suffering aortal dissection Type A

Keywords: aortal dissection; resuspension of aortal valve; aortal insufficiency.

Abstract

Objective. To investigate resuspension of aortal valve in the patients, suffering aortal dissection of Type A.

Materials and methods. In 1994 - 2018 yrs period in Amosov National Institute of Cardio-Vascular Surgery 385 patients, suffering an acute aortal dissection Type A, were treated. In 169 patients aortal dissection have led to occurrence of an acute aortal insufficiency. Among these patients resuspension of the aortal valve was performed in 43, who have got aortal insufficiency from moderate one to severe.

Results. In 43 patients with initial aortal insufficiency, from moderate one to severe, to whom resuspension of aortal valve was performed, postoperatively, in accordance to data of echocardiography, its function have appeared competent. During the year after primary intervention in 2 patients the aortal valve prosthesis was performed for severe aortal insufficiency developed.

Conclusion. Resuspension of aortal valve constitutes an effective method of its function restoration in patients, suffering aortal dissection Type A and aortal insufficiency from moderate to severe. Preservation of own aortal valve improves patient’s quality of life, lowers the risks of thromboembolic and hemorrhagic complications and prevents delay for thrombing of a false channel due to long-lasting anticoagulant therapy.

Author Biographies

V. I. Kravchenko, Amosov National Institute of Cardio-Vascular Surgery, Kyiv

Vitalii Kravchenko - MD, PhD,
Head of Department,
https://orcid.org/0000-0003-4873-5367,
kravchenkomd@ukr.net

I. M. Kravchenko, Amosov National Institute of Cardio-Vascular Surgery, Kyiv

Ivan Kravchenko - Dsci(Med), Chief Researcher,
vicmd@ukr.net
ORCID 0000-0003-0343-8094

O. O. Lohvinenko, Amosov National Institute of Cardio-Vascular Surgery, Kyiv

Oleksandra Lohvinenko - MD, anesthesiologist-intensivist,
oleksandra.lohvinenko@gmail.com
https://orcid.org/0000-0001-7948-7293

V. V. Lazoryshynets, Amosov National Institute of Cardio-Vascular Surgery, Kyiv

Vasyl Lazoryshynets - MD, DSci(Med), Professor,
Director National Amosov Institute of cardiovascular surgery,
+380442744300
lazor@ukr.net
https://orcid.org/0000-0002-1748-561X

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Published
2020-12-28
How to Cite
Kravchenko, V. I., Kravchenko, I. M., Lohvinenko, O. O., & Lazoryshynets, V. V. (2020). Results of the valve-preserving operations in the patients, suffering aortal dissection Type A. Klinicheskaia Khirurgiia, 87(11-12), 15-18. https://doi.org/10.26779/2522-1396.2020.11-12.15
Section
General Problems of Surgery