Surgical tactics in patients with aortic valve defect in combination with poststenotic dilation of the ascending aorta
https://doi.org/10.17238/2072-3180-2021-4-23-29
Abstract
Introduction. According to the literature, aortic valve defects occur in 15% of patients with dilation of the proximal ascending aorta. With borderline ectasia of the aorta up to 5 cm, there are still numerous discussions about the methods of surgical treatment.
The aim of the study was to improve the results of surgical treatment of patients with aortic valve defect in combination with poststenotic expansion of the ascending aorta less than 5 cm.
Material and methods. The article analyzes the long-term results of surgical treatment of 69 patients with aortic valve defects in combination with poststenotic dilation of the ascending aorta from 4 to 5 cm.
Results. In control examinations of patients with isolated aortic valve replacement after 5 years, 20 (58.8%) patients showed no significant change in the size of the ascending aorta, 7 (20.6%) – an increase in the size of the ascending aorta annually by 2 ± 0.4 mm, 4 (11.7%) - annually by 1 ± 0.3 mm.
Conclusion. Taking into account the high risks of aneurysm growth, its dissection and rupture, patients with aortic valve defect with borderline dimensions of the ascending aorta are recommended to perform simultaneous prosthetics of the aortic valve and the ascending aorta.
About the Authors
Yu. V. Belov
B.V. Petrovsky Russian Research Center of Surgery
Russian Federation
Russian Federation
MD, professor, acad. of RAS, the head of the department of the hospital surgery, Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)
119991, Moscow, Trubetskaya str., 8, p. 2
K. N. Rybakov
Pirogov City Hospital № 1;
Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), University's Clinical Hospital № 1
Russian Federation
Russian Federation
cardiovascular surgeon
119049, Moscow, Leninskii p., 8
I. A. Gubarev
Pirogov City Hospital №1
Russian Federation
Russian Federation
PhDs in Medicine, cardiovascular surgeon
119049, Moscow, Leninskii p., 8
A. Z. Salekh
Pirogov City Hospital №1
Russian Federation
Russian Federation
PhDs in Medicine, cardiovascular surgeon
119049, Moscow, Leninskii p., 8
L. Kh. Ejieva
Pirogov City Hospital №1
Russian Federation
Russian Federation
cardiovascular surgeon
119049, Moscow, Leninskii p., 8
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Review
For citations:
Belov Yu.V., Rybakov K.N., Gubarev I.A., Salekh A.Z., Ejieva L.Kh. Surgical tactics in patients with aortic valve defect in combination with poststenotic dilation of the ascending aorta. Moscow Surgical Journal. 2021;(4):23-29. (In Russ.) https://doi.org/10.17238/2072-3180-2021-4-23-29
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