Аннотация
Пациенты с выраженным аортальным стенозом относятся к группе высокого риска внезапной смерти без оперативного лечения, а также к группе высокого пери- и послеоперационного риска. В представленном исследовании проанализированы данные отечественной и мировой литературы в контексте оптимальных сроков операции, послеоперационных осложнений и предикторов их развития в различные сроки после вмешательства. К основным детерминантам, определяющим оптимальный срок операции, относятся степень стеноза клапана, развитие дисфункции левого желудочка и скорость ухудшения гемодинамических показателей. Сопутствующие митральная недостаточность и ИБС, а также выраженная дооперационная дисфункция левого желудочка – главные предикторы заболеваемости и летальности в различные сроки после протезирования аортального клапана по поводу аортального стеноза.
Литература
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Об авторах
- Бокерия Лео Антонович, доктор мед. наук, профессор, академик РАН и РАМН, директор; orcid.org/0000-0002-6180-2619
- Пасхалов Ираклий Дмитриевич, аспирант, кардиохирург
