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

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Issue's catalogue ➤ Клиническая физиология кровообращения. 2017; 14 (3): 125-177 ➤ Оценка клинического статуса пациентки с двукратным превышением нормы индекса массы тела и выраженным протез-пациентным несоответствием через 15 лет после коррекции митрально-аортального порока механическими протезами st. jude medical standard

Clinical status assessment of a female patient with doublethe normal body mass index and with a severe valve prosthesis/patientmismatch 15 years after the mitral and aortic valves replacementwith st. jude medical standard mechanical prostheses

Authors: D.M. Pelekh, T.G. Nikitina, A.A. Fadeev, I.I. Skopin, M.G. Izosimova

Company:
Bakoulev National Scientific and Practical 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/10.24022/1814-6910-2017-14-3-170-177

UDC: 616-056.52:616.126.42+616.126.52]-089

Link: Clinical Physiology of Blood Circulaiton. 2017; 14 (3): 170-177

Quote as: Pelekh D.M., Nikitina T.G., Fadeev A.A., Skopin I.I., Izosimova M.G. Clinical status assessment of a female patient with double the normal body mass index and with a severe valve prosthesis/patient mismatch 15 years after the mitral and aortic valves replacement with St. Jude Medical Standard mechanical prostheses. Klinicheskaya Fiziologiya Krovoobrashcheniya (Clinical Physiology of Circulation, Russian journal). 2017; 14 (3): 170–7 (in Russ.). DOI: 10.24022/1814-6910-2017-14-3-170-177

Keywords: mechanical heart valve prostheses effective orifice area valve prosthesis-patient mismatch prosthetic hemodynamics peak oxygen consumption

Received / Accepted: 04.07.2017/12.07.2017

Abstract

The female patient is 40 years old with rheumatic mitral-aortic defect and insufficiency of both valves 15 years ago in 2002 two-valves prosthetics by mechanical artificial limbs of St. Jude Medical of the Standard model the sizes 27 and 23 of mm was done. At the time of operation the weight of the patient was 97 kg, the body surface area (BSA) 2.4 m2, the body weight index (BWI) 34.4 kg/m2. Now her weight is 125 kg, BSA 2.69 m2, BWI 44.3 kg/m2. Now the values of valve prosthesis/patient mismatch have become severe on both mitral and aortic prostheses: 0.62 (<0.9)/0.59 (<0.6). The values of transprosthetic gradients have become much higher; the mass of a myocardium of left ventricle appears to be in a tendency to growth. The patient has manifestations of symptoms of heart failure.

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About Authors

Pelekh Dmitriy Mikhaylovich, Cand. Med. Sc., Researcher; orcid.org/0000-0002-2816-3296
Nikitina Tat’yana Georgievna, Dr. Med. Sc., Professor, Head of Department of Cardiology Acquired Heart Disease; orcid.org/0000-0003-4656-6299
Fadeev Aleksandr Alekseevich, Cand. Tech. Sc., Head of Laboratory for the Application of Polymers in Cardiovascular Surgery; orcid.org/0000-0001-5358-0027
Skopin Ivan Ivanovich, Dr. Med. Sc., Professor, Head of Department of Reconstructive Surgery of Cardiac Valves and Coronary Arteries, Director of the Institute of Coronary and Vascular Surgery, Bakoulev NSPCCS; orcid.org/0000-0001-7411-202X
Izosimova Mariya Grigor’evna, Ultrasonic Diagnostics Physician; orcid.org/0000-0001-6588-9072

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