[Three-valve reconstruction with prosthetic repair of the ascending portion of the aorta in elderly patients]. / Trekhklapannaia rekonstruktsiia s protezirovaniem voskhodiashchego otdela aorty u bol'nogo pozhilogo vozrasta.

Elderly and aged patients appear to have a significantly increased risk from a cardiosurgical intervention combining three-valve reconstruction and prosthetic repair of the ascending portion of the aorta. Triple-valve pathology in pronounced mitral insufficiency is often accompanied by concomitant dilatation of the left atrium, i. e., atriomegaly. With the aim to eliminate the syndrome of compression of surrounding tissues and normalize intracardiac haemodynamics, reduction of the left atrium should become an inherent procedure for atriomegaly in patients with multiple-valve pathology.