CONGENITAL HEART VALVE DISEASES: MODERN APPROACHES TO DIAGNOSIS AND SURGICAL TREATMENT
Objective - to provide analysis of operations for congenital heart disease valves for the period from 2011 to 2015 in the Department of surgical treatment of older children (after 3 years) with CHD A.N. Bakoulev Scientific Center for Cardiovascular Surgery. Material and methods. The study presents the results of surgery in 623 patients with various congenital disorders who underwent reconstructive intervention ( n =326) and prosthetics of the heart valves ( n =297). The data on the correction of comorbidities. The basic principles of diagnosis and surgical tactics in patients with congenital disorders of the heart valves. The data on the freedom from reoperation on heart valves in their congenital anomalies. Results. In the group of patients with reconstructive operations on the heart valves had low hospital mortality (1.5% for aortic valve and 0% - on plastic mitral and tricuspid valves). In the group of patients who underwent valve replacement mortality was: the aortic valve - 1.6%, mitral - 3.9%, tricuspid - 0%. Data characterizing transprosthetic hemodynamics showed a good result of the intervention. Conclusion. Surgical correction of congenital valvular disease in children often are classified as stage treatment, which dictates the need for the planned dynamic observation of patients and a timely decision on the re-intervention. The constant and careful monitoring of the competence of the reconstructed valve by ultrasonic method of research is an integral part of the prediction result of the operation.