Zhekov I. Surgical ways to improve left heart function in prosthetic mitral valve

Thesis for candidate degree in specialty 14.01.04 - cardiovascular surgery. - State Institution "National Institute of Cardiovascular Surgery. Amosov Sciences of Ukraine", Kyiv, 2011. The dissertation is devoted to studying the problems of treating patients with mitral valve disease, the development, justification and use the most effective methods of treating patients with this pathology. Clinical material is based upon the study of 648 adult patients with acquired heart mitral valve disease , which during the period from 2000 to 2009 was performed mitral valve replacement. All patients operated under extracorporeal circulation. In the mitral position only implanted mechanical prostheses. Saving the rear wing, but hemodynamic effects and technical ease of the procedure allowed the gap to prevent left ventricular posterior wall. Application of this method was possible in almost all patients, and used in any anatomic and hemodynamic version of mitral valve disease. Prosthetic mitral valve posterior mitral valve with indignation, combined with plastic left atrium (especially in patients with ejection fraction < 45 %), improved flow as an early and remote postoperative periods. A protocol of cardiac patients with left heart pathology.