Journal «Angiology and Vascular Surgery» • 

1997 • VOLUME 3 • №1

EXPERIENCE WITH ONE-STAGE CORRECTION OF VALVULAR HEART DISEASE AND SURGERY OF SECONDARY INFECTIOUS ANEURYSMS OF THE PERIPHERAL ARTERIES USING MICROSURGICAL TECHNIQUE

K.G. Abalmasov, Ye.G. Tutov, I.I. Skopin, K.M. Morozov, R.M. Muratov, S.M. Kambarov, M.V. Shumilina, A.I. Chernyshov, S.I. Pryadko, A.A. Fedorovich
Department of Microvascular Surgery, Department of Acquired Heart Disease,
A.N. Bakulev Scientific Center of Cardiovascular Surgery,
Russian Academy of Medical Sciences,
Moscow, Russia

Eight patients with lesion of the valvular apparatus of the heart and secondary infectious aneurysms of the peripheral arteries were operated at the Departments of Microvascular Surgery and Acquired Heart Disease, A.N.Bakulev Scientific Center of Cardiovascular Surgery, Russian Academy of Medical Sciences. Of these, 6 patients had lesion of the aortic valve, 1 patient presented with lesion of the mitral valve, and 1 patient with lesion of the aortic and mitral valves. The disease standing varied from 4 months to 1 year and 2 months. In 6 patients, the secondary infectious aneurysm was located in the arteries of the lower limbs and in 2 patients, it was identified in the arteries supplying blood to the upper limbs. All the patients underwent one-stage operations on the valvular apparatus and vascular bed. Operations aimed at the sacrifice of the involved segment were accomplished in 5 patients. 3 patients were subjected to resection of the aneurysm, followed by restoration of the blood flow. The reversed autogenous vein was used as bypass material. The postoperative course appeared uneventful. No lethal outcomes were recorded. The authors hold that all the patients with lesion of the valvular apparatus and secondary infectious aneurysms of the peripheral arteries should be regarded as candidates for one-stage operations. The decision as to whether bypass grafting or sacrifice operation should be performed is to be taken in each concrete case.

P. 57

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