Surgical therapeutic decision-making in elderly patients with heart valvular defects combined with lesions of coronary and brachiocephalic arteries

Skopin I.I., Samorodskaya I.V., Murysova D.V., Asatryan T.V., Urmanbetov K.S., Valieva R.R.

Department of Reconstructive Surgery of Cardiac Valves and Coronary Arteries A.N. Bakulev Scientific Centre for Cardiovascular Surgery under the Russian Academy of Medical Sciences, Moscow, Russia

Due to considerable incidence of combined cardiac and vascular pathology in elderly and aged patients with heart valve defects, of special importance is the problem regarding surgical therapeutic decision-making. The present article is aimed at considering the problems concerning possibility and feasibility of stagewise or simultaneous surgical correction in patients diagnosed as having cardiac valve defect and haemodynamically significant lesions of coronary and/or brachiocephalic arteries based on generalizing the results of international studies.

KEY WORDS: stenosis of brachiocephalic arteries, valvular pathology, staging of surgical treatment.

P. 92

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