Open AccessTHE CLINICAL OUTCOMES AND SURVIVAL POTENTIAL OF PATIENTS WITH CHRONIC HEART FAILURE AND EXPRESSED DYSFUNCTION OF THE LEFT VENTRICLE AFTER SURGERY OF ATRIOVENTRICULAR INSUFFICIENCY
Author(s) -
О Г Шатова,
Alena Kurlianskaya,
Т. Л. Денисевич,
J. P. Ostrovskiy
Publication year - 2018
Publication title -
problemy zdorovʹâ i èkologii
Language(s) - English
Resource type - Journals
eISSN - 2708-6011
pISSN - 2220-0967
DOI - 10.51523/2708-6011.2018-15-3-8
Subject(s) - medicine , ventricle , cardiology , heart failure , atrioventricular valve , mitral regurgitation , regurgitation (circulation) , heart transplantation , surgery , hemodynamics , mitral valve repair , mitral valve , transplantation
Objective: to assess the clinical, hemodynamic, laboratory efficiency and survival potential of patients having undergone plastic repair of atrioventricular valves. Material and methods . Patients with functional class (FC) III and IV chronic heart failure (CHF) according to NYHA (New York Heart Association - Functional Classification), who had undergone plastic repair of atrioventricular valves, were included in the study. Results. The study has found that the return of mitral regurgitation after mitral valve repair in patients is associated with their age, 4 degree and volume of mitral regurgitation of more than 42 ml before the surgery. Conclusion . The results obtained during the study allow to draw a conclusion that surgical reconstruction of atrioventricular valves contributes to a longer life expectancy and enhances quality of life of patients. Furthermore, it makes it possible to postpone heart transplantation and thus may be regarded as «a surgical bridge» to othotopic heart transplantation.