Оценка непосредственных результатов после протезирования аортального клапана у пациентов с аортальным стенозом и сниженной фракцией выброса левого желудочка
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2. Цукерман, Г. И. Приобретенные болезни сердца и перикарда // Сердечно-сосудистая хирургия: руководство / Г. И. Цукерман, И. И. Скопин; под ред. В. И. Бураковского, Л. А. Бокерия. – М.: Медицина, 1996. – С. 386–392.
3. Adams, D. Impact of small prosthetic valve size on operative mortality in elderly patients after valve replacement for aortic stenosis: does gender matter? / D. Adams et al. // J. Thorac. Cadiovasc. Surg. – 1999. – № 118. – Р. 815–822.
4. Alexander, K. P. Outcomes of cardiac surgery in patients > or = 80 years: results from the National Cardiovascular Network / K. P. Alexander, K. J. Anstrom, L. H. Muhlbaier et al. // J. Am. Coll. Cardiol. – 2000. – Vol. 35, № 3. – Р. 731–738.
5. Asher, C. Analysis of risk factors for development of atrial fibrillation early after cardiac valvular surgery / C. Asher, D. Miller, R. Grimm et al. // Am. J. Cardiol. – 1998. – Vol. 82. – Р. 892–895.
6. Bevilacqua, S. Aortic valve disease with severe ventricular dysfunction: stentless valve for better recovery / S. Bevilacqua, J. Gianetti, A. Ripoli et al. // Ann. Thorac. Surg. – 2002. – Vol. 74, № 6. – Р. 2016–2021.
7. Вouma, B. J. To operate or not on elderly patients with aortic stenosis: the decision and its consequences / B. J. Вouma, R. B. A. van den Brink, J. H. P. van der Meulen et al. // Heart. – 1999. – Vol. 82. – P. 143–148.
8. Brogan, W. Prognosis after valve replacement in patients with severe aortic stenosis and a low transvalvular pressure gradient / W. Brogan et al. // J. Am. Coll. Cardiol. – 1993. – Vol. 21. – P. 1220–1225.
9. Carabello, B. A. Hemodynamic determinants of prognosis of aortic valve replacement in critical aortic stenosis and advanced congestive heart failure / B. A. Carabello, L. H. Green, W. Grossman et al. // Circulation. – 1980. – Vol. 62, № 1. – P. 42–48.
10. Ciesla-Dul, M. Low ejection fraction as risk factor after aortic valve replacement / M. Ciesla-Dul, R. Pfitzner, R. Drwila et al. // Przegl. Lek. – 2004. – Vol. 61, № 6. – P. 579–584.
11. Connolly, H. M. Aortic valve replacement for aortic stenosis with severe left ventricular dysfunction / H. M. Connolly, J. K. Oh, T. A. Orszulak // Circulation. – 1997. – Vol. 95, № 10. – P. 2395– 2400.
12. Connolly, H. M. Severe aortic stenosis with low transvalvular gradient and severe left ventricular dysfunction: result of aortic replacement in 52 patients / H. M. Connolly, J. K. Oh, H. V. Schaff et al. // Circulation. – 2000. – Vol. 101, № 16. – P. 1940–1946.
13. Сreswell L. Hazards of postoperative atrial arrhythmias / L. Creswell // Ann. Thorac. Surg. – 1993. – Vol. 56. – P. 539–549.
14. De Filippi, C. R. Usefulness of dobutamine echocardiography in distinguishing severe from nonsevere valvular aortic stenosis in patients with depressed left ventricular function and low transvalvular gradients / C. R. De Filippi, D. L. Willett, M. E. Brickner et al. // Am. J. Cardiology. – 1995. – Vol. 75, № 15. – P. 191–194.
15. Duarte, I. G. Late survival after valve operation in patients with left ventricular dysfunction / I. G. Duarte, C. O. Murphy, A. S.Kosinski et al. // Ann. Thorac. Surg. – 1997. – Vol. 64, № 4. – P. 1089–1095.
16. Ducceschi, V. Risk predictors of paroxysmal atrial fibrillation following aortic valve replacement / V. Ducceschi, A. D'Andrea, M. Galderisi et al. // Ital. Heart J. – 2001. – Vol. 2, № 7. – P. 507–512.
17. Elayda, M. A. Aortic valve replacement in patients 80 years and older. Operative risks and long-term results / M. A. Elayda, R. J. Hall, R. M. Reul et al. // Circulation. – 1993. – Vol. 88, № 5, Pt 2. – P. II11–II16.
18. Gehlot, A. Aortic valve replacement in patients aged eighty years and older: early and long-term results / A. Gehlot, C. J. Mullany, D. Ilstrup et al. // J. Thorac. Cadiovasc. Surg. – 1996. – Vol. 111. – Р. 1026–1036.
19. Kvidal, P. Observed and relative survival after aortic valve replacement / P. Kvidal, R. Bergstrom, L. G. Horte et al. // J. Am. Coll. Cardiol. – 2000. – Vol. 35. – P. 747–756.
20. Masters, R. Are older patients with mechanical heart valves at increased risk? / R. Masters et al. // Ann. Thorac. Surg. – 1999. – Vol. 68. – P. 2169–2172.
21. Orlowska-Baranowska, E. Prediction of paroxysmal atrial fibrillation after aortic valve replacement in patients with aortic stenosis: identification of potential risk factors / E. Orlowska-Baranowska, R. Baranowski, P. Michalek et al. // J. Heart Valve Dis. – 2003. – Vol. 12, № 2. – P. 136–141.
22. Pereira, J. J. Survival after aortic valve replacement for severe aortic stenosis with low transvalvular gradients and severe left ventricular dysfunction / J. J. Pereira, M. S. Lauer, M. Bashir et al. // J. Am. Coll. Cardiol. – 2002. – Vol. 39, № 8. – P. 1356–1363.
23. Powell, D. E. Aortic valve replacement in patients with aortic stenosis and severe left ventricular dysfunction / D. E. Powell, P. A. Tunick, B. P. Rosenzweig et al. // Arch. Intern. Med. – 2000. – Vol. 160, № 9. – P. 1337–1341.
24. Rediker, D. E. Degree of reversibility of left ventricular dysfunction aortic valve replacement for isolated aortic valve stenosis / D. E. Rediker, C. A. Boucher, P. C. Block еt al. // Am. J. Cardiol. – 1987. – Vol. 60, № 1. – P. 112–118.
25. Rothenburger, M. Aortic valve replacement for aortic regurgitation and stenosis, in patients with severe left ventricular dysfunction / M. Rothenburger, K. Drebber, T. D. Tjan et al. // Eur. J. Cardiothorac. Surg. – 2003. – Vol. 23, № 5. – P. 703–709.
26. Sharony, R. Aortic valve replacement in patients with impaired ventricular function / R. Sharony, E. A. Grossi, P. C. Saunders et al. // Ann. Thorac. Surg. – 2003. –Vol. 75, № 6. – P. 1808–1814.
27. Smith, N. Severe aortic stenosis with impaired left ventricular function and clinical heart failure: results of valve replacement / N. Smith, J. H. McAnulty, S. H. Rahimtoola // Circulation. – 1978. – Vol. 58, № 2. – P. 255–264.
28. Tarantini, G. Aortic valve replacement in severe aortic stenosis with left ventricular dysfunction: determinants of cardiac mortality and ventricular R. Scognamiglio et al. // Eur. J. Cardiothorac. Surg. – 2003. – Vol. 24, № 6. – P. 879–885.
29. Vaquette, B. Valve replacement in patients with critical aortic stenosis and depressed left ventricular function: predictors of operative risk, left ventricular function recovery, and long term outcome / B. Vaquette, H. Corbineau, M. Laurent et al. // Heart. – 2005. – Vol. 91, № 10. – P. 1324–1329.
30. Walther, Т. Left ventricular reverse remodeling after surgical therapy for aortic stenosis: correlation to renin-angiotensin system gene expression / Т. Walther, A. Schubert, V. Falk et al. // Circulation. – 2002. – Vol. 106. – P. I23–I26 (Suppl. 1).
Abstract
The study involved 96 patients aged from 30 to 74 years with aortic stenosis and reduced left ventricular ejection fraction. All patients were classified as severe category of patients with II-III stages of circulatory failure, according to the classification of N. D. Strazhesko - V. H. Vasilenko (100%) and by III-IV functional class of NYHA (100%). All patients performed the operation - prosthetic of aortic valve. Already in the early period after surgery showed improvement of clinical, functional and hemodynamic status of patients (an increase in left ventricular ejection fraction, reduction of heart volumes and sizes of the left atrium, as well as peak and mean-diastolic gradients).References
1. Искандарян, Ш. Р. Предикторы возникновения фибрилляции предсердий после операции протезирования аортального клапана: дис. … канд. мед. наук / Ш. Р. Искандарян. – М., 2005.2. Цукерман, Г. И. Приобретенные болезни сердца и перикарда // Сердечно-сосудистая хирургия: руководство / Г. И. Цукерман, И. И. Скопин; под ред. В. И. Бураковского, Л. А. Бокерия. – М.: Медицина, 1996. – С. 386–392.
3. Adams, D. Impact of small prosthetic valve size on operative mortality in elderly patients after valve replacement for aortic stenosis: does gender matter? / D. Adams et al. // J. Thorac. Cadiovasc. Surg. – 1999. – № 118. – Р. 815–822.
4. Alexander, K. P. Outcomes of cardiac surgery in patients > or = 80 years: results from the National Cardiovascular Network / K. P. Alexander, K. J. Anstrom, L. H. Muhlbaier et al. // J. Am. Coll. Cardiol. – 2000. – Vol. 35, № 3. – Р. 731–738.
5. Asher, C. Analysis of risk factors for development of atrial fibrillation early after cardiac valvular surgery / C. Asher, D. Miller, R. Grimm et al. // Am. J. Cardiol. – 1998. – Vol. 82. – Р. 892–895.
6. Bevilacqua, S. Aortic valve disease with severe ventricular dysfunction: stentless valve for better recovery / S. Bevilacqua, J. Gianetti, A. Ripoli et al. // Ann. Thorac. Surg. – 2002. – Vol. 74, № 6. – Р. 2016–2021.
7. Вouma, B. J. To operate or not on elderly patients with aortic stenosis: the decision and its consequences / B. J. Вouma, R. B. A. van den Brink, J. H. P. van der Meulen et al. // Heart. – 1999. – Vol. 82. – P. 143–148.
8. Brogan, W. Prognosis after valve replacement in patients with severe aortic stenosis and a low transvalvular pressure gradient / W. Brogan et al. // J. Am. Coll. Cardiol. – 1993. – Vol. 21. – P. 1220–1225.
9. Carabello, B. A. Hemodynamic determinants of prognosis of aortic valve replacement in critical aortic stenosis and advanced congestive heart failure / B. A. Carabello, L. H. Green, W. Grossman et al. // Circulation. – 1980. – Vol. 62, № 1. – P. 42–48.
10. Ciesla-Dul, M. Low ejection fraction as risk factor after aortic valve replacement / M. Ciesla-Dul, R. Pfitzner, R. Drwila et al. // Przegl. Lek. – 2004. – Vol. 61, № 6. – P. 579–584.
11. Connolly, H. M. Aortic valve replacement for aortic stenosis with severe left ventricular dysfunction / H. M. Connolly, J. K. Oh, T. A. Orszulak // Circulation. – 1997. – Vol. 95, № 10. – P. 2395– 2400.
12. Connolly, H. M. Severe aortic stenosis with low transvalvular gradient and severe left ventricular dysfunction: result of aortic replacement in 52 patients / H. M. Connolly, J. K. Oh, H. V. Schaff et al. // Circulation. – 2000. – Vol. 101, № 16. – P. 1940–1946.
13. Сreswell L. Hazards of postoperative atrial arrhythmias / L. Creswell // Ann. Thorac. Surg. – 1993. – Vol. 56. – P. 539–549.
14. De Filippi, C. R. Usefulness of dobutamine echocardiography in distinguishing severe from nonsevere valvular aortic stenosis in patients with depressed left ventricular function and low transvalvular gradients / C. R. De Filippi, D. L. Willett, M. E. Brickner et al. // Am. J. Cardiology. – 1995. – Vol. 75, № 15. – P. 191–194.
15. Duarte, I. G. Late survival after valve operation in patients with left ventricular dysfunction / I. G. Duarte, C. O. Murphy, A. S.Kosinski et al. // Ann. Thorac. Surg. – 1997. – Vol. 64, № 4. – P. 1089–1095.
16. Ducceschi, V. Risk predictors of paroxysmal atrial fibrillation following aortic valve replacement / V. Ducceschi, A. D'Andrea, M. Galderisi et al. // Ital. Heart J. – 2001. – Vol. 2, № 7. – P. 507–512.
17. Elayda, M. A. Aortic valve replacement in patients 80 years and older. Operative risks and long-term results / M. A. Elayda, R. J. Hall, R. M. Reul et al. // Circulation. – 1993. – Vol. 88, № 5, Pt 2. – P. II11–II16.
18. Gehlot, A. Aortic valve replacement in patients aged eighty years and older: early and long-term results / A. Gehlot, C. J. Mullany, D. Ilstrup et al. // J. Thorac. Cadiovasc. Surg. – 1996. – Vol. 111. – Р. 1026–1036.
19. Kvidal, P. Observed and relative survival after aortic valve replacement / P. Kvidal, R. Bergstrom, L. G. Horte et al. // J. Am. Coll. Cardiol. – 2000. – Vol. 35. – P. 747–756.
20. Masters, R. Are older patients with mechanical heart valves at increased risk? / R. Masters et al. // Ann. Thorac. Surg. – 1999. – Vol. 68. – P. 2169–2172.
21. Orlowska-Baranowska, E. Prediction of paroxysmal atrial fibrillation after aortic valve replacement in patients with aortic stenosis: identification of potential risk factors / E. Orlowska-Baranowska, R. Baranowski, P. Michalek et al. // J. Heart Valve Dis. – 2003. – Vol. 12, № 2. – P. 136–141.
22. Pereira, J. J. Survival after aortic valve replacement for severe aortic stenosis with low transvalvular gradients and severe left ventricular dysfunction / J. J. Pereira, M. S. Lauer, M. Bashir et al. // J. Am. Coll. Cardiol. – 2002. – Vol. 39, № 8. – P. 1356–1363.
23. Powell, D. E. Aortic valve replacement in patients with aortic stenosis and severe left ventricular dysfunction / D. E. Powell, P. A. Tunick, B. P. Rosenzweig et al. // Arch. Intern. Med. – 2000. – Vol. 160, № 9. – P. 1337–1341.
24. Rediker, D. E. Degree of reversibility of left ventricular dysfunction aortic valve replacement for isolated aortic valve stenosis / D. E. Rediker, C. A. Boucher, P. C. Block еt al. // Am. J. Cardiol. – 1987. – Vol. 60, № 1. – P. 112–118.
25. Rothenburger, M. Aortic valve replacement for aortic regurgitation and stenosis, in patients with severe left ventricular dysfunction / M. Rothenburger, K. Drebber, T. D. Tjan et al. // Eur. J. Cardiothorac. Surg. – 2003. – Vol. 23, № 5. – P. 703–709.
26. Sharony, R. Aortic valve replacement in patients with impaired ventricular function / R. Sharony, E. A. Grossi, P. C. Saunders et al. // Ann. Thorac. Surg. – 2003. –Vol. 75, № 6. – P. 1808–1814.
27. Smith, N. Severe aortic stenosis with impaired left ventricular function and clinical heart failure: results of valve replacement / N. Smith, J. H. McAnulty, S. H. Rahimtoola // Circulation. – 1978. – Vol. 58, № 2. – P. 255–264.
28. Tarantini, G. Aortic valve replacement in severe aortic stenosis with left ventricular dysfunction: determinants of cardiac mortality and ventricular R. Scognamiglio et al. // Eur. J. Cardiothorac. Surg. – 2003. – Vol. 24, № 6. – P. 879–885.
29. Vaquette, B. Valve replacement in patients with critical aortic stenosis and depressed left ventricular function: predictors of operative risk, left ventricular function recovery, and long term outcome / B. Vaquette, H. Corbineau, M. Laurent et al. // Heart. – 2005. – Vol. 91, № 10. – P. 1324–1329.
30. Walther, Т. Left ventricular reverse remodeling after surgical therapy for aortic stenosis: correlation to renin-angiotensin system gene expression / Т. Walther, A. Schubert, V. Falk et al. // Circulation. – 2002. – Vol. 106. – P. I23–I26 (Suppl. 1).
