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Lysenko A.V.

Petrovsky Russian Scientific Center of Surgery

Salagaev G.I.

Petrovsky Russian Scientific Center of Surgery

Lednev P.V.

Petrovsky Russian Scientific Center of Surgery

Dzeranova A.N.

Petrovsky National Research Center of Surgery

Belov Yu.V.

Petrovsky National Research Center of Surgery;
Sechenov First Moscow State Medical University

Mitral valve replacement in patients with obstructive hypertrophic cardiomyopathy

Authors:

Lysenko A.V., Salagaev G.I., Lednev P.V., Dzeranova A.N., Belov Yu.V.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2023;(10): 7‑13

DOI: 10.17116/hirurgia20231017

Read: 1810 times

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Table of contents

MITRAL VALVE REPLACEMENT IN PATIENTS WITH OBSTRUCTIVE HYPERTROPHIC CARDIOMYOPATHY
MITRAL VALVE REPLACEMENT IN PATIENTS WITH OBSTRUCTIVE HYPERTROPHIC CARDIOMYOPATHY

To cite this article:

Lysenko AV, Salagaev GI, Lednev PV, Dzeranova AN, Belov YuV. Mitral valve replacement in patients with obstructive hypertrophic cardiomyopathy. Pirogov Russian Journal of Surgery. 2023;(10):7‑13. (In Russ.)
https://doi.org/10.17116/hirurgia20231017

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To analyze the incidence and causes of mitral valve replacement in patients with obstructive hypertrophic cardiomyopathy (HCM).

MATERIAL AND METHODS

There were 172 patients (98 women and 74 men) with obstructive HCM and severe mitral valve insufficiency between November 2017 and May 2023. All patients complained of chronic heart failure NYHA class III. Surgical correction of left ventricular outflow tract (LVOT) obstruction and mitral valve repair with elimination of systolic anterior motion were technically successful in 160 (93.0%) patients.

RESULTS

The need for mitral valve replacement was noted in 12 (7.0%) patients. Mean cardiopulmonary bypass time was 83.5±19.2 min (94; 127), aortic cross-clamping — 62.8±14.3 min (70; 102). In 5 cases, primary mitral valve replacement was scheduled due to obvious organic lesion of the mitral valve (tearing of chords, rheumatic lesion with leaflet restriction). In 7 patients, valve replacement was forced after ineffective primary septal myectomy (LVOT pressure gradient, severe mitral insufficiency).

CONCLUSION

Mitral valve replacement is an involuntary strategy after ineffective myectomy with severe mitral insufficiency and high LVOT pressure gradient.

Keywords:

obstructive hypertrophic cardiomyopathy
mitral valve replacement
mitral insufficiency
left ventricular outflow tract

Authors:

Lysenko A.V.

Petrovsky Russian Scientific Center of Surgery

Salagaev G.I.

Petrovsky Russian Scientific Center of Surgery

Lednev P.V.

Petrovsky Russian Scientific Center of Surgery

Dzeranova A.N.

Petrovsky National Research Center of Surgery

Belov Yu.V.

Petrovsky National Research Center of Surgery;
Sechenov First Moscow State Medical University

Received:

10.06.2023

Accepted:

28.06.2023

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References:

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  20. Lysenko AV, Salagaev GI, Lednev PV, Belov YuV. Surgical treatment of obstructive hypertrophic cardiomyopathy combined with muscle bridging of the left anterior descending artery. Pirogov Russian Journal of Surgery = Khirurgiya. Zurnal im. N.I. Pirogova. 2022;(1):81-83. (In Russ.). https://doi.org/10.17116/hirurgia202201181
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