Three-valve reconstruction with prosthetic repair of the ascending portion of the aorta in elderly patients

Komarov R.N.^1,2, Puzenko D.V.², Isaev R.M.^1,2, Magomedova K.A.², Belov Yu.V.^1,3

1) Department of Hospital Surgery, Faculty of Medicine,
2) Department of Faculty Surgery №1, Institute of Clinical Medicine, I.M. Sechenov First Moscow State Medical University,
3) Institute of Cardioaortic Surgery, Petrovsky National Research Centre of Surgery, Moscow, Russia

Elderly and aged patients appear to have a significantly increased risk from a cardiosurgical intervention combining three-valve reconstruction and prosthetic repair of the ascending portion of the aorta. Triple-valve pathology in pronounced mitral insufficiency is often accompanied by concomitant dilatation of the left atrium, i. e., atriomegaly. With the aim to eliminate the syndrome of compression of surrounding tissues and normalize intracardiac haemodynamics, reduction of the left atrium should become an inherent procedure for atriomegaly in patients with multiple-valve pathology.

KEY WORDS: three-valve reconstruction, giant left atrium, left atrial reduction, prosthetic repair of the ascending aorta, old age.

P. 161

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