OPTIMIZATION OF SURGICAL TREATMENT OF PATIENTS WITH AORTIC VALVE DISEASES AND SEVERE LEFT VENTRICULAR SYSTOLIC DYSFUNCTION

• Main Authors: E. K. Mekhtiev, M. L. Semenovsky, V. N. Poptsov, P. A. Vavilov, D. V. Evlyukhin
• Format: Article
• Language: Russian
• Published: Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov 2011-06-01
• Series: Vestnik Transplantologii i Iskusstvennyh Organov
• Subjects: aortic valve diseases; left ventricular systolic dysfunction; hybrid approach; protocol optimization.
• Online Access: https://journal.transpl.ru/vtio/article/view/413

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.