STAGED ENDOVASCULAR TREATMENT OF ACUTE CORONARY SYNDROME AND AORTIC VALVE STENOSIS IN A PATIENT WITH HIGH RISK OF SURGICAL INTERVENTION ON THE «OPEN» HEART
Abstract
Aortic stenosis (AS) is currently prevalent disease wherein there is a narrowing outlet of left ventricle (LV) and left ventricle blood ejection failure during systole. The prevalence of this pathology is about 0.5% in population and increases sharply among the group of patients older than 70 years and, is usually associated with age-related valve calcification. Gradual progressive disposition and thickening of the valve flaps leads to aortic valve opening narrowing. This results in a systolic pressure gradient between left ventricle and aorta.In 2002, an endovascular aortic valve prosthesis was created. This type of surgery has revolutionized the treatment of «non-operable» aortic stenosis. Transcatheter aortic valve replacement in Russia has been carried out since 2009, and to date quite a lot of experience has been accumulated using such technology. Especially severe course and the most unfavorable prognosis of this disease is observed in patients with combined acute coronary disease.
Keywords
стеноз аортального клапана,
транскатетерное протезирование аортального клапана (TAVI),
ишемическая болезнь сердца,
стентирование коронарных артерий,
острый коронарный синдром,
aortic valve stenosis,
transcatheter aortic valve replacement,
coronary artery disease,
coronary artery stenting,
acute coronary syndrome
About the Authors
V. V. Plechev
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Россия
Россия
V. Sh. Ishmetov
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Россия
Россия
R. E. Abdrakhmanov
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Россия
Россия
T. R. Ibragimov
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Россия
Россия
M. Sh. Kashaev
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Россия
Россия
E. N. Gerasimenko
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Россия
Россия
S. R. Akhmetshin
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Россия
Россия
Review
For citations:
Plechev V.V., Ishmetov V.Sh., Abdrakhmanov R.E., Ibragimov T.R., Kashaev M.Sh., Gerasimenko E.N., Akhmetshin S.R. STAGED ENDOVASCULAR TREATMENT OF ACUTE CORONARY SYNDROME AND AORTIC VALVE STENOSIS IN A PATIENT WITH HIGH RISK OF SURGICAL INTERVENTION ON THE «OPEN» HEART. Bashkortostan Medical Journal. 2019;14(1):36-42. (In Russ.)
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