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Post a Comment Immediate and medium-term results of aortic valve replacement with biological prosthesis in elderly patients: experience of one center
- Authors: Kadyraliev B.К.1,2,3, Belov V.А.1, Arutyunyan V.B.1, Marchenko А.V.1, Kdralieva N.V.1, Enginoev S.Т.4,5, Kuchumov А.G.3
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Affiliations:
- S.G. Sukhanov Federal Center for Cardiovascular Surgery
- E.A. Vagner Perm State Medical University
- Perm National Research Polytechnic University
- Federal Center for Cardiovascular Surgery
- Astrakhan State Medical University
- Issue: Vol 40, No 6 (2023)
- Pages: 61-73
- Section: Methods of diagnosis and technologies
- URL: https://ogarev-online.ru/PMJ/article/view/254787
- DOI: https://doi.org/10.17816/pmj40661-73
- ID: 254787
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Abstract
Objective. To analyze the immediate and medium-term results of prosthetics of the aortic valve (AV) using biological prosthesis in elderly patients.
Material and methods. The study included 198 patients with AV pathology [85 men (42.9 %)/113 women (57.1 %)]. The median age was 70 [66–73] years. There were 175 (88.4 %) patients with sclerodegenerative AV, 5 (2.5 %) – with infectious endocarditis and 30 patients (15.2 %) had bicuspid AV.
Results. The hospital mortality was 4.5 %. The causes of mortality were multiple organ failure syndrome, in 1 case – developed peritonitis. In 14 patients (7.1 %) there was a rhythm disturbance in the form of AF, in 9 (4.5 %) – a complete AV block, in connection with which a permanent pacemaker was implanted. Four patients (2 %) underwent resternotomy for bleeding. Two patients (1 %) underwent pericardiocentesis. 8 (4 %) patients developed a stroke. No wound complications were detected. In the long-term period, 31 patients died. The causes of mortality were the following: cardiovascular diseases – 13 patients, malignant neoplasms – 5 patients, gastrointestinal diseases – 2, urinary system disease – 1 patient, COVID-19 – 1 patient, unknown cause – 9 patients. Thus, the five-year survival rate after the surgery was 63 %, respectively. During the follow-up period, 2 patients (2.9 %) underwent repeated intervention on AV.
Conclusions. The five-year freedom from re-operation was 97.1 %. The five-year survival rate was 63 % due to the presence of a history of severe concomitant pathology as well as the middle age of patients 70 years.
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##article.viewOnOriginalSite##About the authors
B. К. Kadyraliev
S.G. Sukhanov Federal Center for Cardiovascular Surgery; E.A. Vagner Perm State Medical University; Perm National Research Polytechnic University
Author for correspondence.
Email: kadyraliev.bakitbek@yandex.ru
ORCID iD: 0000-0002-4007-7665
MD, PhD, cardiovascular surgeon
Russian Federation, Perm; Perm; PermV. А. Belov
S.G. Sukhanov Federal Center for Cardiovascular Surgery
Email: kadyraliev.bakitbek@yandex.ru
ORCID iD: 0000-0002-0945-8208
Chief Physician, cardiovascular surgeon
Russian Federation, PermV. B. Arutyunyan
S.G. Sukhanov Federal Center for Cardiovascular Surgery
Email: kadyraliev.bakitbek@yandex.ru
ORCID iD: 0000-0002-1730-9050
MD, PhD, Head of the Cardiovascular Unit № 1
Russian Federation, PermА. V. Marchenko
S.G. Sukhanov Federal Center for Cardiovascular Surgery
Email: kadyraliev.bakitbek@yandex.ru
ORCID iD: 0000-0003-3310-2110
MD, PhD, Deputy Head Physician for Medical Work, cardiovascular surgeon
Russian Federation, PermN. V. Kdralieva
S.G. Sukhanov Federal Center for Cardiovascular Surgery
Email: kadyraliev.bakitbek@yandex.ru
ORCID iD: 0009-0005-7617-2305
cardiovascular surgeon
Russian Federation, PermS. Т. Enginoev
Federal Center for Cardiovascular Surgery; Astrakhan State Medical University
Email: kadyraliev.bakitbek@yandex.ru
ORCID iD: 0000-0002-8376-3104
Candidate of Medical Sciences, cardiovascular surgeon, Assistant of the Department of Cardiovascular Surgery
Russian Federation, Astrakhan; AstrakhanА. G. Kuchumov
Perm National Research Polytechnic University
Email: kadyraliev.bakitbek@yandex.ru
ORCID iD: 0000-0002-0466-175X
Doctor of Physico-mathematical Sciences, Professor of the Department of Calculus Mathematics, Mechanics and Biomechanics
Russian Federation, PermReferences
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