Reconstructive surgery of the root of the aorta and aortic valve (The literature review)
DOI: 10.22138/2500-0918-2017-14-1-75-85
A.N. Molchanov, E.M. Idov, I.V. Hrutshev
Received 26.12.2016
For citation:
MolchanovA.N., IdovE.M., Hrutshev I.V.Reconstructive surgery of the root of the aorta and aortic valve (the literature review). Vestn. Ural. Med. Akad. Nauki. Journal of Ural Medical Academic Science. 2017, Vol. 14, no. 1, pp. 75–85. DOI: 10.22138/2500-0918-2017-14-1-75-85 [In Russ.]
Abstract. Relevance. The reconstructive surgery of the aortic valve development was simusoidal with periods of increase and fall of interest to it. The problem of aortic valve repair remains unsolved till now. The majority of clinics have radical approach to aortic valve surgery, preferring to implant valve prosthesis, rather than to repair the valve. During the last decade interest in reconstructive interventions on the aortic valve and aortic root has increased considerably. That is stipulated by different reasons. First of all, there are good results of such procedures performed in leading foreign hospitals. Moreover, new methods of morphology assessment, repair of different structural abnormalities and their substantiation emerged and led to increase of interest in aortic valve and root reconstruction. Objectives. Our objectives were to explore historical aspects and new approaches to different structural abnormalities repair and to justify advantages of them. Literature review presents investigators’ view on aortic valve and root repair problem. Conclusions and perspectives. Reconstructive surgery for aortic valve and root is a promising new approach which allows to diminish disadvantages of aortic valve prosthesis. Based on the review conducted authors suggest a wider use of reconstructive aortic valve and root surgery in eveyday cardiac surgery
Keywords: aortic valve, aortic valve repair, aortic root
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Authors
Andrey N. Molchanov
Ural State Medical University
Cand. Sci. (Med.), The Aassistant to Department Warmly-vascular Surgery
Centre of Heart and Vascular them Savichevsky M.S. GBUZ SR Sverdlovsk Regional Clinical Hospital № 1
The Doctor Warmly-vascular Surgeon
Repin str. 3, Yekaterinburg, 620028, Russian Federation
molchanov@okb1.ru;
amolchanov432@gmail.com
Eduard M. Idov
Ural State Medical University
Dr. Sci. (Med.), Professor, Head of Departments Warmly-vascular Surgery
Repin str. 3, Yekaterinburg, 620028, Russian Federation
idov@okb1.ru
Igor V. Khruschev
Centre of Heart and Vascular them Savichevsky M. S. Sverdlovsk Regional Clinical Hospital № 1
The Doctor Warmly-vascular Surgeon
Volgogradskaya str. 185, Yekaterinburg, 620102, Russian Federation
usmaold@gmail.com
