Endovascular treatment in patients with combined pathology

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription Access

Abstract


Aortic valve stenosis is one of the most common diseases from the group of acquired heart disease, especially in elderly patients. Aortic valve replacement has become the “gold standard” and gives excellent results in all age groups of patients. For aortic valve replacement is sent to only one third of patients due to high risk due to age, severity of the defect, reduced contractility of the left ventricle, pulmonary hypertension and other comorbidities. One of the attempts to reduce the frequency of complications and mortality in this group of patients, and subsequently to make it possible to perform other surgical interventions, including aortic valve replacement, which is considered inoperable patients is holding a less traumatic surgery - aortic balloon catheter valvuloplasty. In the clinical observation deals with the case of heart disease - critical aortic stenosis, ischemic heart disease complicated by pulmonary hypertension and severe heart failure, in combination with gynecological diseases (uterine fibroids, endometrial hyperplasia in postmenopausal women), complicated by uterine bleeding and hemorrhagic anemia. Consider the risks of different surgical interventions. The possibility of modern endovascular care of patients in this situation simultaneously perform operations on uterine artery embolization, coronary angioplasty with stenting and aortic catheter balloon valvuloplasty. Also shown is the nearest and remote results of operative intervention.

Full Text

Restricted Access

About the authors

Evgeny Antonovich Shloydo

St. Petersburg State City Hospital N 2

Email: avsizov.spb@mail.ru
MD, PhD, Chief, Dept. of Endovascular Diagnosis and Treatment

Igor Alexandrovich Pyaterichenko

St. Petersburg State City Hospital N 2

Email: avsizov.spb@mail.ru
MD, PhD, Associate Professor, Deputy Chief of Surgery

Victoria Valentinovna Zvereva

St. Petersburg State City Hospital N 2

Email: avsizov.spb@mail.ru
Cardiologist, Department of Cardiology N 1

Yuriy Romanovich Kovalev

St. Petersburg State Pediatric Medical University

Email: avsizov.spb@mail.ru
MD, PhD, Dr Med Sci, Professor, Head, Department of Faculty Therapy named after professor V. A. Valdman

Alexey Viktorovich Sizov

St. Petersburg State Pediatric Medical University

Email: avsizov.spb@mail.ru
MD, PhD, Associate Professor, Department of Faculty Therapy named after professor V. A. Valdman

References

  1. Бураковский В. А. и др. Сердечно-сосудистая хирургия. М.: Медицина; 1989.
  2. Кэмм А. Д., Люшер Т. Ф. и др. Болезни сердца и сосудов. Руководство Европейского общества кардиологов. Перевод с английского под редакцией Шляхто Е. В. ГЭОТАР-Медиа; 2015.
  3. Подзолков В. П. и др. Особенности течения врожденных пороков сердца у взрослых больных. Грудная и сердечно-сосудистая хирургия. 2009; № 2.
  4. Kaneko T., Loberman D. et al. Reoperative aortic valve replacement in the octogenarians-minimally invasive technique in the era of transcatheter valve replacement. J. Thorac. Cardiovasc. Surg. 2014; 147: 155-62.
  5. Langanay T., Verhoye J. P. et al. Current hospital mortality of aortic valve replacement in octogenarians. J. Heart Valve Dis. 2006; 15: 630-637.
  6. Phan K., Zhou J. J. et al. Minimally invasive reoperative aortic valve replacement: a systematic review and meta-analysis. Annals of Cardiothoracic Surgery. 2015; 4 (1): 15-25.
  7. Potter D. D., Sundt T. M. et al. Operative risk of reoperative aortic valve replacement. J. Thorac. Cardiovasc. Surg. 2005; 129: 94-103.
  8. Sedaghat A., Rashid F. et al. Outcome in TAVI patients with symptomatic aortic stenosis not fulfilling PARTNER study inclusion criteria. Catheter Cardiovasc Interv. 2015; 29: 7-14.
  9. Guidelines on the management of valvular heart disease. European Heart Journal. 2012; 33 (19): 2451-2496.
  10. Guideline for the management of patients with valvular heart disease. Journal of the American College of Cardiology. 2014; 63 (22): 57-185.

Statistics

Views

Abstract - 1176

PDF (Russian) - 532

Cited-By


Article Metrics

Metrics Loading ...

PlumX

Dimensions


Copyright (c) 2015 Shloydo E.A., Pyaterichenko I.A., Zvereva V.V., Kovalev Y.R., Sizov A.V.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies