Academic Journal
Cryopreserved homografts in valve surgery – the experience of one clinic ; Применение криосохраненных гомографтов в клапанной хирургии – опыт одной клиники
| العنوان: | Cryopreserved homografts in valve surgery – the experience of one clinic ; Применение криосохраненных гомографтов в клапанной хирургии – опыт одной клиники |
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| المؤلفون: | R. N. Komarov, A. V. Tsaregorodtsev, M. I. Tkachev, I. M. Vasalatii, I. V. Oleinik, M. O. Panchenko, A. G. Kluzina, A. V. Nuridzhanyan, Y. A. Kalinina, M. A. Laipanov, D. K. Tebieva, Р. Н. Комаров, А. В. Царегородцев, М. И. Ткачёв, И. М. Васалатий, И. В. Олейник, М. О. Панченко, А. Г. Клюзина, А. В. Нуриджанян, Ю. А. Калинина, М. А. Лайпанов, Д. К. Тебиева |
| المصدر: | Siberian Journal of Clinical and Experimental Medicine; Том 39, № 2 (2024); 78-85 ; Сибирский журнал клинической и экспериментальной медицины; Том 39, № 2 (2024); 78-85 ; 2713-265X ; 2713-2927 |
| بيانات النشر: | TSU publishing |
| سنة النشر: | 2024 |
| المجموعة: | Siberian Medical Journal / Сибирский медицинский журнал |
| مصطلحات موضوعية: | легочный гомографт, mitral homograft, aortic homograft, pulmonary homograft, митральный гомографт, аортальный гомографт |
| الوصف: | Introduction. Surgical treatment of infective and prosthetic endocarditis using homografts shows good results. Aortic homograft implantation is a common technique, whereas tricuspid and mitral valve replacement with mitral homograft is rare. Multiple valve malformations in infective endocarditis pose a surgical challenge because these patients are usually critically ill and surgical outcomes are often unsatisfactory. In this article, we describe our experience with successful surgical treatment of patients who underwent implantation of cryopreserved homograftsAim: To study the long-term results of cryopreserved homograft implantation, freedom from reoperation, long-term survival, and to demonstrate new technical aspects of homograft implantation.Material and Methods. This is a retrospective analysis of 24 patients operated in our clinic (UKB No. 1 of Sechenov University) between 2015 and 2021. Aortic homograft (AH) in orthotopic position was implanted in 6 patients with active IE. Pulmonary homograft (PH) was implanted in 13 patients: in orthotopic position (n = 10) and in heterotopic position (in the aortic root) (n = 3). Mitral homograft was implanted in 4 patients, with only 1 of them in the orthotopic position, whereas 3 were implanted in the TC position (Table 1). In 1 patient with AK and MC IE extended to the mitral-aortic contact, the use of an aorto-mitral monobloc was requested.Results. In the midterm period, we had available data from all surviving patients. The mean gradient on AC after implantation of aortic homograft and pulmonary homograft in the position of the aortic root was 4.6 ± 1.96 mm Hg, significant regurgitation was absent in all patients, and no cases of reoperation were noted. After orthotopic implantation of pulmonary homografts, the mean gradient was 3.2 ± 1.4 mm Hg, significant regurgitation was absent in all cases. After MG implantation in TC position according to ECHO data all patients have 0–1 degree of regurgitation on the prosthesis, mean pressure gradient was 2,5 ± 0,6 mm Hg. MG ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | Russian |
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| DOI: | 10.29001/2073-8552-2024-39-2-78-85 |
| الاتاحة: | https://www.sibjcem.ru/jour/article/view/2312 https://doi.org/10.29001/2073-8552-2024-39-2-78-85 |
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| رقم الانضمام: | edsbas.6F40CE9 |
| قاعدة البيانات: | BASE |
| DOI: | 10.29001/2073-8552-2024-39-2-78-85 |
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