ABSTRACT
A case of congenital cardiac disorder with multiple defects in the secondary interventricular septum and atrial septum aneurysm in a young serviceman is reported. Plastic surgery of the atrial septum with a good clinical outcome included closure of the defect with a flap harvested from the autopericardium under conditions of artificial blood circulation and warm blood cardioplegia.
Subject(s)
Heart Aneurysm/pathology , Heart Aneurysm/surgery , Heart Defects, Congenital/pathology , Heart Defects, Congenital/surgery , Heart Septum/pathology , Heart Septum/surgery , Adolescent , Humans , Male , Treatment OutcomeABSTRACT
A case of congenital heart disease (fistula between left coronary artery and right pulmonary artery, right coronary artery and pulmonary trunk) diagnosed accidentally during planned medical examination is reported. Corrective surgery included disconnection of left coronary and right pulmonay arteries, right coronary artery and pulmonary trunk under artificial circulation and warm blood cardioplegia.
Subject(s)
Arterio-Arterial Fistula , Cardiovascular Surgical Procedures/methods , Coronary Vessel Anomalies , Pulmonary Artery/abnormalities , Adult , Arterio-Arterial Fistula/congenital , Arterio-Arterial Fistula/diagnosis , Arterio-Arterial Fistula/physiopathology , Arterio-Arterial Fistula/surgery , Asymptomatic Diseases , Coronary Angiography , Coronary Vessel Anomalies/diagnosis , Coronary Vessel Anomalies/physiopathology , Coronary Vessel Anomalies/surgery , Electrocardiography , Extracorporeal Circulation/methods , Humans , Incidental Findings , Male , Treatment OutcomeABSTRACT
Current approaches to the provision of effective medical aid to elderly patients with cardiovascular diseases are discussed. Clinical characteristics of such patients, concomitant pathologies, the strategy and extent of cardiosurgical treatment and postoperative therapy are described The original observations are compared with literature data concerning the immediate postoperative outcomes, clinical features, and peculiarities ofsurgical intervention in the patients of this age group.
Subject(s)
Cardiac Surgical Procedures , Coronary Disease/surgery , Aged , Aged, 80 and over , Aging/pathology , Cardiac Surgical Procedures/adverse effects , Contraindications , Coronary Disease/mortality , Coronary Disease/physiopathology , Humans , Male , Postoperative PeriodABSTRACT
Modern approaches to cardiosurgical plastic intervention on the mitral valve in case of its ischemic insufficiency are discussed. Etiology of this condition, indications for surgery, and the history of such operations are described. It is concluded that plastic surgery of the mitral valve is the method of choice for the treatment of patients with coronary heart disease.
Subject(s)
Coronary Artery Bypass , Heart Valve Prosthesis Implantation , Mitral Valve Annuloplasty , Mitral Valve Insufficiency/surgery , Postoperative Complications/epidemiology , Coronary Artery Bypass/adverse effects , Coronary Artery Bypass/methods , Coronary Disease/complications , Coronary Disease/physiopathology , Heart Valve Prosthesis Implantation/adverse effects , Heart Valve Prosthesis Implantation/methods , Humans , Mitral Valve Annuloplasty/adverse effects , Mitral Valve Annuloplasty/methods , Mitral Valve Insufficiency/etiology , Mitral Valve Insufficiency/physiopathology , Risk Factors , Survival Analysis , Treatment OutcomeABSTRACT
It was the purpose of this search to announce that elaborating an optimal tactics for patients with coronary heart disease (CHD), complicated with ischemic mitral regurgitation (IMR). There were operated 85 patients with CHD and IMR in the course of 2006-2008. Previously all patients were separated on 3 groups in dependence of severity of IMR, character of damage of coronary race and changing of left ventricle. In the first and the second groups was realized an aorta-coronary shunting with annuloplasty. In the third group was realized an isolated shunting. Mortality in hospital was zero percents. A rudimentary regurgitation was noted by 10% of patients of the 1st group. The maximum period of monitoring was 24 months. Freedom from mitral regurgitation for the 1st and 2nd group was 95%, for the 3rd--93%. So, adequate and mutual estimation of flap-connected factors as well as condition of coronary race by the patients with IMR reduces the risk of by-pass mitral regurgitation and shows good short-term and long-term results.
Subject(s)
Mitral Valve Insufficiency/surgery , Myocardial Ischemia/surgery , Aged , Coronary Artery Bypass , Coronary Disease/complications , Coronary Disease/surgery , Humans , Male , Middle Aged , Mitral Valve/surgery , Mitral Valve Insufficiency/complications , Myocardial Contraction/physiology , Myocardial Ischemia/complicationsABSTRACT
This paper reports the result of surgical treatment of a patient with hemodynamically significant post-infarction left ventricular aneurysm spreading over the apex, anterolateral wall of the left ventricle, and a major part of interventricular septum complicated by thromboendocarditis.
