Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Surgical correction of critical aortic stenosis in a 79-years old patient with biventricular heart failure and high-pulmonary hypertension

Authors: T.G. Nikitina, D.M. Pelekh, S.A. Oganova, R.A. Lasarev, G.A. Shamsiev

Company:
Bakoulev National Medical Research Center for Cardiovascular Surgery, Ministry of Health of the Russian Federation, Rublevskoe shosse, 135, Moscow, 121552, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

DOI: https://doi.org/10.24022/1814-6910-2018-15-2-139-144

UDC: 616.132-007.271-053.9]-089.168:616.12-008.46:616.131-008.331.1

Link: Clinical Physiology of Blood Circulaiton. 2018; 15 (2): 139-144

Quote as: Nikitina T.G., Pelekh D.M., Oganova S.A., Lasarev R.A., Shamsiev G.A. Surgical correction of critical aortic stenosis in a 79-years old patient with biventricular heart failure and high-pulmonary hypertension. Klinicheskaya Fiziologiya Krovoobrashcheniya (Clinical Physiology of Circulation, Russian journal). 2018; 15 (2): 139–44 (in Russ.). DOI: 10.24022/1814-6910-2018-15-2-139-144

Received / Accepted:  29.01.2018/30.01.2018

Download
Full text:  

Abstract

A 79-year-old patient with multiple valvular heart disease, decompensated heart failure against a background of a long-term heart disease, burdened by concomitant pathology and high operational risk (logistic Euroscore-19). Because of the presence of critical aortic stenosis, surgical treatment was undertaken on vital indications with the preliminary medical preparation in a short time. The key specialists decision-making on the scope of the patient's surgical treatment contributed to the preparation of the patient for surgery in a short time, an adequate correction of the three-valvular defects, and further prevention of the expected postoperative complications.

References

Литература

  1. Хугаева А.А., Никитина Т.Г. Хирургическое лечение клапанных пороков сердца у пациентов 75 лет и старше: непосредственные результаты и факторы риска. Грудная и сердечно-сосудистая хирургия. 2017; 59 (4): 77–84.
  2. Pierard S., Seldrum S., de Meester C., Pasquet A., Gerber B., Vancraeynest D. et al. Incidence, determinants and prognostic impact of operative refusal or denial in octogenarians with severe aortic stenosis. Ann. Thorac. Surg. 2011; 91 (4): 1107–12.
  3. Бокерия Л.А., Самородская И.В., Болотова Е.В., Урманбетов К.С. Распространенность приобретенных пороков сердца и особенности клинического течения у пожилых пациентов (обзор). Новые технологии. 2012; 3: 235–8.
  4. Barreto-Filho J.A., Wang Y., Dodson J.A., Desai M.M., Sugeng L., Geirsson A. et al. Trends in aortic valve replacement for elderly patients in the United States 1999–2011. J. Am. Med. Ass. 2013; 310 (19): 2078–85. DOI: 10.1001/jama.2013.282437
  5. Lung B., Cachier A., Baron G., Messica-Zeitoun D., Delahaye F., Tornos P. et al. Decision-making in elderly patients with severe aortic stenosis: why are so many denied surgery? Eur. Heart J. 2005; 26: 2714–20.
  6. Ashikhmina E.A., Schaff H.V., Dearani J.A., Sundt T.M., Suri R.M., Park S.J. Aortic valve replacement in the elderly: determinants of late outcome. Circulation. 2011; 124 (9): 1070–8.
  7. Van Geldorp M.W., Jamieson W.R., Kappetein A.P., Ye J., Fradet G.J., Marinus J.C. et al. Patients outcome after aortic valve replacement with a mechanical or biological prosthesis: Weighing lifetime anticoagulant-related event risk against reoperation risk. J. Thorac. Cardiovasc. Surg. 2009; 134 (4): 881–6.
  8. Гелецян Л.Г., Никитина Т.Г., Лобачева Г.В., Скопин И.И., Бокерия Л.А. Факторы риска госпитальной летальности у пожилых больных при коррекции пороков сердца. Сердечно-сосудистые заболевания. Бюллетень НЦССХ им А.Н. Бакулева РАМН. 2011; 12 (3): 44–51.
  9. Цукерман Г.И., Семеновский M.Л., Дубровский B.C. Хирургическое лечение многоклапанных пороков сердца. Кардиология. 1981; 2: 21–6.
  10. Sanchez J.A., Ferdinandt F.D., Fann J.I. Patient safety science in cardiothoracic surgery: and overview. Ann. Thorac. Surg. 2014; 1: 86–101.
  11. Никитина Т.Г., Шамсиев Г.А., Гелецян Л.Г., Хугаева А.А. Случай успешного хирургического лечения позднего протезного эндокардита у пациента 80 лет с высоким операционным риском. Грудная и сердечно-сосудистая хирургия. 2017; 59 (2): 119–23.

References

  1. Hugaeva A.A., Nikitina T.G. Surgical treatment of valvular heart disease in patients 75 years and older: immediate results and risk factors. Grudnaya i SerdechnoSosudistaya Khirurgiya (Russian Journal of Thoracic and Cardiovascular Diseases). 2017; 59 (4): 77–84 (in Russ.).
  2. Pierard S., Seldrum S., de Meester C., Pasquet A., Gerber B., Vancraeynest D. et al. Incidence, determinants and prognostic impact of operative refusal or denial in octogenarians with severe aortic stenosis. Ann. Thorac. Surg. 2011; 91 (4): 1107–12.
  3. Bockeria L.A., Samorodskaya I.V., Bolotova E.V., Urmanbetov K.S. Dissemination of aquired heart diseases and clinical features in elderly patients (review). Novye Tekhnologii (New Technologies, Russian journal). 2012; 3: 235–8 (in Russ.).
  4. Barreto-Filho J.A., Wang Y., Dodson J.A., Desai M.M., Sugeng L., Geirsson A. et al. Trends in aortic valve replacement for elderly patients in the United States 1999–2011. J. Am. Med. Ass. 2013; 310 (19): 2078–85. DOI: 10.1001/jama.2013.282437
  5. Lung B., Cachier A., Baron G., Messica-Zeitoun D., Delahaye F., Tornos P. et al. Decision-making in elderly patients with severe aortic stenosis: why are so many denied surgery? Eur. Heart J. 2005; 26: 2714–20.
  6. Ashikhmina E.A., Schaff H.V., Dearani J.A., Sundt T.M., Suri R.M., Park S.J. Aortic valve replacement in the elderly: determinants of late outcome. Circulation. 2011; 124 (9): 1070–8.
  7. Van Geldorp M.W., Jamieson W.R., Kappetein A.P., Ye J., Fradet G.J., Marinus J.C. et al. Patients outcome after aortic valve replacement with a mechanical or biological prosthesis: Weighing lifetime anticoagulant-related event risk against reoperation risk. J. Thorac. Cardiovasc. Surg. 2009; 134 (4): 881–6.
  8. Geletsyan L.G., Nikitina T.G., Lobacheva G.V., Skopin I.I., Bockeria L.A. Risk factors for hospital mortality in elderly patients after correction of heart desiase. Serdechno-Sosudistye Zabolevaniya. Byulleten’ Nauchnogo Tsentra Serdechno-Sosudistoy Khirurgii imeni A.N. Bakuleva RAMN (Bulletin of Bakoulev Center for Cardiovascular Diseases, Russian journal). 2011; 12 (3): 44–51 (in Russ.).
  9. Tsukerman G.I., Semenovskiy M.L., Dubrovskiy V.S. Surgical treatment of valvular heart diseases. Kardiologiia (Cardiology, Russian journal). 1981; 2: 21–6 (in Russ.).
  10. Sanchez J.A., Ferdinandt F.D., Fann J.I. Patient safety science in cardiothoracic surgery: and overview. Ann. Thorac. Surg. 2014; 1: 86–101.
  11. Nikitina T.G., Shamsiev G.A., Geletsyan L.G., Khugaeva A.A. A case report on successful surgical treatment for late prosthetic endocarditis in a highrisk surgical patient of eighty years old. Grudnaya i Serdechno-Sosudistaya Khirurgiya (Russian Journal of Thoracic and Cardio-vascular Diseases). 2017; 59 (2): 119–23 (in Russ.).

About Authors

Nikitina Tat’yana Georgievna, Dr. Med. Sc., Professor, Head of Department of Cardiology of Acquired Heart Defects; orcid.org/0000-0003-4656-6299
Pelekh Dmitriy Mikhaylovich, Cand. Med. Sc., Researcher; orcid.org/0000-0002-2816-3296
Oganova Stella Al’bertovna, Cardiologist
Lazarev Ruslan Aleksandrovich, Cand. Med. Sc., Researcher; orcid.org/0000-0003-4274-1870
Shamsiev Gufron Abdumavlonovich, Dr. Med. Sc., Head of Department of Cardiology, Resuscitation and Intensive Care; orcid.org/0000-0002-1846-5880

 If you found mistakes, select text and press Alt+A