From the experience of surgical treatment of combined pathology of heart valves and coronary arteries
Abstract
In this article authors carry out a comparative analysis of results of hybrid treatment of combination of the acquired heart diseases (AHD) and the ischemic heart disease (IHD) by a two-stage method (2-staged hybrid) in 48 patients and single-stage correction in the conditions of artificial blood circulation (ABC) in 21 patients. Authors draw conclusions that, when treating combination of AHD and IHD, hybrid operations have obvious advantages over single-stage operations of heart valve replacement and coronary artery bypass graft (CABG). It is indicated that there is a need in organizing specially equipped “hybrid” operating rooms for carrying out operations by the One-stop hybrid method.
About the Authors
P. I. ZakharovRussian Federation
V. S. Petrov
Russian Federation
V. S. Popov
Russian Federation
T. Y. Tomskaia
Russian Federation
References
1. Alekyan B.G. Coronary angioplasty in patients with acquired heart disease in combination with ischemic heart disease / B.G. Alekyan, I.I. Skopin, T.G. Nikitina, M.Y. Kaputin // Interventional methods of ischemic heart disease treatment / Ed. L.A. Bockeria, B.G. Alekyan, A. Colombo, Y.I. Buziashvili. - Moscow: Bakoulev Scientific Center for Cardiovascular Surgery of RAMS, 2002. - P. 303-312.
2. Aliev S.M. Surgical treatment of mitral valve defects in combination with ischemic heart disease: Thesis / S.M. Aliyev. - M., 2003.
3. Coronary angioplasty in staged treatment of patients with acquired heart disease in combination with IHD / B.G. Alekyan, I.I .Skopin, T.G. Nikitina [et al.] // Thorac. and cardiovasc.surg. - 2001. - № 2 - P. 72-76.
4. Some features of diagnostics and surgical treatment of comorbid defects of coronary arteries and heart valves / E.N. Kazakov, A.I. Malashenkov [et al.] // Proceedings of symposium on the surgical treatment of congenital and acquired heart defects - Yerevan, 1985. - P. 149-153.
5. New approach to surgery of combined valve and coronary heart disease / M.L. Semenov, V.V. Sokolov, V.V. Chestukhin [et al.] // Proceedings of the XIVth annual session of Bakoulev Scientific Center for Cardiovascular Surgery of RAMS. – M., 1999. - P. 27.
6. Statistical analysis of risk factors for early hospital mortality for combined operations of heart valve disease correction and coronary artery bypass grafting / I.I. Skopin, T.G. Nikitina, M.Y. Kaputin [et al.] // Thorac. and cardiovasc. surg. - 2001. - № 2. - P. 75-78.
7. Alekyan B.G. Endovascular surgery in the treatment of patients with ischemic heart disease combined with acquired heart disease / B.G, Alekyan, T.G. Nikitina, I.I. Skopin [et al.] // Proceedings of the Annual Session III of Bakoulev Scientific Center for Cardiovascular Surgery of RAMS. – M., 1999. - P. 76.
8. Bloomstein L.Z. Aortic valve replacement in geriatric patients: determinants of in-hospital mortality / L.Z. Bloomstein // Ann. Thorac. Surg.- 2001. – Vol. 71. - Р. 597-600.
9. Byrne J.G. Hybrid Cardiovascular Procedures / J.G. Byrne, M. Leacche, D.E. Vaughan, D.X. Zhao // J. Am. Coll. Cardiol. -2008. - Vol. 1, № 5. - P. 459-468.
10. Coronary artery bypass graft failure after on-pump and off-pump coronary artery bypass: findings from PREVENT IV / M.J. Magee, J.H. Alexander, G. Hafley [et а1.] // Ann. Thorac. Surg. - 2008. - Vol. 85. - P. 494-499; discussion 499-500.
11. Effectiveness of same dау percutaneous coronary intervention followed bу minimally invasive aortic valve replacement for aortic stenosis and moderate coronary disease («hybrid approach») / D.R. Brinster, М. Byrne, С.D. Rogers [et а1.] // Аm. J. Cardiol. - 2006. - Vol. 98. - Р. 1501-1503.
12. Gorav Ailawadi. Is Mitral Valve Repair Superior to Replacement in Elderly Patients? / Gorav Ailawadi, B. R. Swenson // Ann. Thorac. Surg. - 2008. - Vol. 86. - P. 77-86.
13. Staged initial percutaneous coronary intervention followed by valve surgery («hybrid approach») for patients with complex coronary and valve disease / J.G. Byrne, M.Leacche, D. Unic [et а1.] // J. Am. Coll. Cardiol. - 2005. -Vol. 45. - P. 14-18.
14. Ten-year experience with aortic valve replacement in 482 patients 70 years of age or older: operative risk and long-term results / A.C. Galloway, S.B. Colvin, E.A. Grossi [et а1.] // Ann. Thorac. Surg. - 1990. - Vol. 49. - P. 84-91.
15. Umakanthan R. Combined PCI and Minimally Invasive Heart Valve Surgery for HighRisk Patients / R. Umakanthan, M. Leacche // Curr. Treatment Options Cardiovasc. Medicine. -2009. - Vol. 11. - P. 492-498.
Review
For citations:
Zakharov P.I., Petrov V.S., Popov V.S., Tomskaia T.Y. From the experience of surgical treatment of combined pathology of heart valves and coronary arteries. Yakut Medical Journal. 2013;(3):111-113. (In Russ.)