Klinichna khirurhiia · 2017
[PULMONARY AUTOGRAFT OPERATION IN PEDIATRIC PATIENTS].
СтатьяНазвание и аннотация: Перевод в очереди
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Romanyuk O M, Klymyshyn Yu I, Artemenko E O, Rudenko N M, Yemets I M
Аннотация
Experience of performance of a pulmonary autograft operation (PAO, оperation of Ross) was analyzed, results were estimated, the ways of overcoming a procedure conduction problems were determined. Remote result was investigated in 151 patients: the aortal valve stenosis was diagnosed in 99 (65.6%) patients, insufficiency - in 42 (27.8%), combined aortal valve failure - in 10 (6.6%). Hospital lethality have constituted 3.6%, and a general one – 7.9%. Reoperations were performed in 52 patients. PAO constitutes one of surgical procedures for the aortal valve failure in children of different age. Improvement of surgical technique and application of a new procedures have promoted improvement of the investigation results – lethality lowering from 15.1 to 0.8%. Application of surgical modifications with the aortal radix strengthening have reduced the reoperations on neaortal valve risk trustworthy.
Предметные рубрики MeSH
AdolescentAortaAortic ValveAortic Valve InsufficiencyAortic Valve StenosisAutograftsChildChild, PreschoolFemaleFollow-Up StudiesHeart Valve ProsthesisHeart Valve Prosthesis ImplantationHumansInfantMalePostoperative ComplicationsProsthesis FailurePulmonary Surgical ProceduresPulmonary ValveReoperationSurvival AnalysisTransplantation, AutologousTreatment Outcome