Surgery of aortic defect in the P.V.Mandryka Central Military Clinical Hospital
Presented the experience of traditional cardiac surgery for aortic defect in 191 patients. In 49.2% of cases, the clinic of aortic stenosis prevailed, with the obstructive function of the valve preserved. Surgeries to patients were performed under conditions of cardiopulmonary by sternotomy access. To replace the defective aortic valve, modern, both mechanical and biological prostheses were used. A significant reduction in the temporal parameters of the operation (up to 64%) was achieved when using the frameless Perseval-S bioprosthesis. Evaluation of the immediate results of the operation was carried out 2-3 months after the patients underwent a rehabilitation course. Subsequently, operated patients (n=180) were examined after 6, 12, 24 months. The classical method of surgical treatment of aortic defect remains a priority and relatively safe. If there is evidence, delay in surgical treatment increases the risk of intervention, and in some cases leads to failure.