ABSTRACT
The investigation objective was to improve the immediate results of surgical treatment of the aortal valve failure, applying minimization of operative trauma and, accordingly, rapid functional rehabilitation of patients. The aortal valve prosthesis, using minimally invasive access, was conducted in 44 patients. There was proved, that conduction of ministernotomy for strict indications is effective and have significant advantages, com' paring with classic median sternotomy, because it provides minimal surgical trauma, preservation of the thoracic cage frame, and better cosmetic effect.
Subject(s)
Aortic Valve Insufficiency/surgery , Aortic Valve/surgery , Heart Valve Prosthesis Implantation/methods , Heart Valve Prosthesis , Minimally Invasive Surgical Procedures/methods , Sternotomy/methods , Adolescent , Adult , Aged , Aortic Valve/pathology , Aortic Valve Insufficiency/pathology , Blood Loss, Surgical/prevention & control , Child , Female , Humans , Male , Middle Aged , Retrospective Studies , Treatment OutcomeABSTRACT
The heart transplantation constitutes the method of choice in the treatment of patients, suffering heart insufficiency, tolerant to medicinal therapy. Nevertheless, the donor's organs deficiency problem makes it necessary to search for methods of surgical treatment, which are alternative to transplantation and which would secure the patients life span prolongation as well as the quality of life improvement. New approach in surgical treatment of patients, suffering severe cardiac insufficiency have proposed Brazilian surgeon R. Batista. Experience of surgical treatment of 37 patients with dilatational cardiomyopathy and severe cardiac insufficiency (functional class III-IV, NYHA) is presented. In these patients surgical remodelling of left ventricle was done together with local myocardium plasty between papillary muscles base of mitral and tricuspid valves. Fair immediate and late results are noted.
