RESUMO
Main causes necessitating replacement of tricuspid valve (TV) prosthesis were calcinosis and infectious endocarditis of the bioprosthesis. Second operations after primary reconstructive surgery for the replacement of TV prosthesis were needed when medical indications did not fully justify the use of valve salving surgery by the Danielson's method and in case of procedural errors during surgery by the method of Carpentier in the initial period of mastering these approaches.
Assuntos
Anomalia de Ebstein/cirurgia , Implante de Prótese de Valva Cardíaca , Próteses Valvulares Cardíacas , Insuficiência da Valva Mitral/cirurgia , Valva Mitral , Adolescente , Adulto , Criança , Humanos , Pessoa de Meia-Idade , Insuficiência da Valva Mitral/congênito , ReoperaçãoRESUMO
The study was designed to analyse the frequency and structure of complications after Fontan operation depending on the form of congenital heart failure (CHF), method of surgery, patients' clinical and hemodynamic characteristics in the preoperative period. Results of surgical and endovascular treatment of different complications and strategies of conservative therapy are discussed. The most common complications of Fontan surgery were circulatory failure, disturbances of heart rhythm, and protein-losing enteropathy. In the majority of patients, they developed in the first 2-3 years after surgery.