Immediate results of surgery for multiple valve disease

Ivanov VA, Aidamirov YaA, Evseev EP, et al. . Immediate results of surgery for multiple valve disease. Russian Journal of Cardiology and Cardiovascular Surgery. 2024;17(3):294‑300. (In Russ.)
https://doi.org/10.17116/kardio202417031294

Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)

Использование инфографики авторами научных работ

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OBJECTIVE

To evaluate the immediate results of surgery for multiple valve disease.

MATERIAL AND METHODS

A retrospective analysis included 125 patients with multiple valve disease. Age of patients was 63 [55; 68] years. There were 56 (44.8%) men and 69 (55.2%) women. Redo surgery was performed in 25 (20%) cases. There was heart failure NYHA class III and IV in 11.2% and 65.6% of cases, respectively.

RESULTS. C

Ardiopulmonary bypass time was 130 [113; 167] min, aortic cross-clamping time — 107 [93; 130] min. Patients underwent the following simultaneous procedures: septal myectomy — 6.4%, coronary artery bypass grafting — 10.4%, left atrial repair — 21.6%, RFA of pulmonary ostia — 3.2%, Cox-Maze 4 procedure — 20.8%, aortic root repair — 2.4%. There were 4 (3.2%) deaths (multiple organ failure — 2, myocardial infarction — 1, rhythm disorders — 1). One (0.8%) patient underwent pacemaker implantation for complete AV block.

CONCLUSION

Surgery for multiple valve disease is associated with low mortality and small number of postoperative complications. Technological progress and available surgical experience improved postoperative outcomes in these patients.

Keywords:

multiple valve disease

heart valve disease

mitral-aortic heart valve disease

Authors:

Ivanov V.A.

Petrovsky National Research Center of Surgery

ORCID: 0000-0001-6277-0375

Aidamirov Ya.A.

Petrovsky National Research Center of Surgery

ORCID: 0000-0003-3870-1040

Evseev E.P.

Petrovsky Russian Scientific Center of Surgery

ORCID: 0000-0002-3806-9658

Nikityuk T.G.

Petrovsky National Research Center of Surgery

Ivanova L.N.

Petrovsky National Research Center of Surgery

ORCID: 0000-0001-6277-0375

Balakin E.V.

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-9658-6725

Voropaeva V.I.

Petrovsky National Research Center of Surgery

ORCID: 0000-0001-9492-3145

Botashev A.A.

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-1224-3224

Received:

17.11.2022

Accepted:

12.06.2023

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