OPTIMIZATION OF SURGICAL TREATMENT OF PATIENTS WITH AORTIC VALVE DISEASES AND SEVERE LEFT VENTRICULAR SYSTOLIC DYSFUNCTION
https://doi.org/10.15825/1995-1191-2011-3-33-40
Abstract
An analysis of the results of surgical treatment of patients with aortic valve diseases and severe left ventricular systolic dysfunction (ejection fraction less than 35%) for the period from January 2005 to April 2011. The study included 39 patients who performed the aortic valve diseases correction. In order to improve the results of sur- gery was used developed a protocol that included preventive training in the intensive care unit with cardioto- nic drug levosimendan, the use of permanent methods of perioperative renal replacement therapy, using a hybrid approach with a combination of diseases with coronary artery disease. Hospital mortality was 5,1%. Based on these results it was concluded that the developed protocol can significantly improve the results of surgical treat- ment of patients with such severe category.
About the Authors
E. K. Mekhtiev
Academician V.I. Schumakov Federal Research Center of Transplantology and Artificial Organs, Moscow
Russian Federation
Russian Federation
M. L. Semenovsky
Academician V.I. Schumakov Federal Research Center of Transplantology and Artificial Organs, Moscow
Russian Federation
Russian Federation
V. N. Poptsov
Academician V.I. Schumakov Federal Research Center of Transplantology and Artificial Organs, Moscow
Russian Federation
Russian Federation
P. A. Vavilov
Academician V.I. Schumakov Federal Research Center of Transplantology and Artificial Organs, Moscow
Russian Federation
Russian Federation
D. V. Evlyukhin
Academician V.I. Schumakov Federal Research Center of Transplantology and Artificial Organs, Moscow
Russian Federation
Russian Federation
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Review
For citations:
Mekhtiev E.K., Semenovsky M.L., Poptsov V.N., Vavilov P.A., Evlyukhin D.V. OPTIMIZATION OF SURGICAL TREATMENT OF PATIENTS WITH AORTIC VALVE DISEASES AND SEVERE LEFT VENTRICULAR SYSTOLIC DYSFUNCTION. Russian Journal of Transplantology and Artificial Organs. 2011;13(3):33-40. (In Russ.) https://doi.org/10.15825/1995-1191-2011-3-33-40
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