Aortic valve replacement for aoric stenosis in patients with left ventricle systolic dysfunction: immediate resuts
Автор: Shmatov D.V., Zheleznev S.I., Astapov D.A., Nazarov V.M., Kliver E.E., Klinkova A.S., Porushnichak D.E., Karaskov A.M.
Журнал: Патология кровообращения и кардиохирургия @journal-meshalkin
Рубрика: Приобретенные пороки сердца
Статья в выпуске: 4 т.14, 2010 года.
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The authors presented immediate clinical and hemodynamic results of aortic valve replacement (AVR) in patients with aortic stenosis and left ventricle (LV) systolic dysfunction. Since May 2002 till September 2008, 41 patients with aortic stenosis, low LV ejection fraction (EF≤50%) and absence of coronary disease underwent AVR. Patients were divided into 2 groups: Group 1 (22 patients with moderate LV dysfunction, EF = 40-50%, mean 45%), and Group 2 (19 patients with severe LV dysfunction, EF≤40%, mean 35%). Overall hospital mortality was 4.9% (2 cases), 0% in Group 1, and 10.5% in Group 2. Causes of death were acute coronary insufficiency and multiorgan failure. Analysis of hospital mortality revealed no significant difference between two groups (р = NS). Aortic cross-clamp time >160 min. appeared to be independent predictor of hospital mortality (р
Tricuspid valve insufficiency, heart valves repair and replacement, surgical treatment, ebstein's anomaly
Короткий адрес: https://sciup.org/142140362
IDR: 142140362