ABSTRACT
The first experience in the use of methods of endovascular surgery in 180 patients with certain diseases of the cardiovascular system in the period between 1984 and 1990 is discussed. All interventions were carried out in the department of angiocardiography and endovascular surgery of the Pirogov Republican Clinical Hospital in a radio-operating room equipped with the Pandoros Optimatik device of the Siemens Firm (FRG).
Subject(s)
Angioplasty, Balloon/statistics & numerical data , Embolization, Therapeutic/statistics & numerical data , Thrombolytic Therapy/statistics & numerical data , Humans , Retrospective Studies , Turkmenistan/epidemiologySubject(s)
Exercise Test , Heart Valve Prosthesis , Adolescent , Adult , Aortic Valve/surgery , Aortic Valve Insufficiency/diagnosis , Aortic Valve Insufficiency/surgery , Child , Disability Evaluation , Female , Follow-Up Studies , Humans , Male , Rheumatic Heart Disease/diagnosis , Rheumatic Heart Disease/surgerySubject(s)
Heart Valve Prosthesis , Rheumatic Heart Disease/surgery , Adolescent , Age Factors , Aortic Valve/surgery , Child , Humans , Mitral Valve/surgeryABSTRACT
Aortic valve prosthetic replacement in children and adolescents helps to improve their haemodynamics, and favourably affects the course of the rheumatic process. The correction of the defect is indicated in the presence of appropriate subjective and objective symptoms of aortic valve insufficiency. The lumen of the aorta was so large in many children that it permitted the employment of prostheses for adults. Calcification of the aortic valve was found in 9 of the 31 patients, which contradicts the commonly accepted belief of a low incidence of calcification in this disease in children. Hospital mortality and postoperative complications rate did not exceed those in aortic valve replacement in adults. The comparatively fast reduction of the heart size and the positive dynamics of the functional parameters in children and adolescents may be due to the high plasticity of the cardiovascular system in this age-group.