Factors influencing the choice between transcatheter and surgical treatment of severe aortic stenosis in patients younger than 80 years: Results from the OBSERVANT study

2019 ◽  
Vol 95 (6) ◽  
Author(s):  
Giuseppe Tarantini ◽  
Luca Nai Fovino ◽  
Paola D'Errigo ◽  
Stefano Rosato ◽  
Marco Barbanti ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Aortic Stenosis ◽  
Severe Aortic Stenosis ◽  
Factors Influencing

scholarly journals Surgical treatment of elderly patients with severe aortic stenosis in the modern era – review

2018 ◽  
Vol 15 (3) ◽  
pp. 188-195
Author(s):  
Anna Kwiecień ◽  
Tomasz Hrapkowicz ◽  
Krzysztof Filipiak ◽  
Roman Przybylski ◽  
Marcin Kaczmarczyk ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Aortic Stenosis ◽  
Elderly Patients ◽  
Severe Aortic Stenosis ◽  
Modern Era

scholarly journals What has changed in surgical treatment of severe aortic stenosis with the advent of percutaneous intervention?

2013 ◽  
Vol 32 (10) ◽  
pp. 749-756
Author(s):  
Eulália Pereira ◽  
Guida Silva ◽  
Daniel Caeiro ◽  
Marlene Fonseca ◽  
Francisco Sampaio ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Aortic Stenosis ◽  
Severe Aortic Stenosis ◽  
Percutaneous Intervention

scholarly journals The choosing of method for treatment of severe aortic stenosis in senile patients

2019 ◽  
pp. 41-52
Author(s):  
Evgeniy Kryukov ◽  
Dmitry Kranin ◽  
Alexey Fedorov ◽  
Aleksei Gaidukov ◽  
Dmitry Nazarov ◽  
...  
Keyword(s):  
Heart Failure ◽  
Surgical Treatment ◽  
Aortic Valve ◽  
Aortic Stenosis ◽  
Severe Aortic Stenosis ◽  
Surgical Risk ◽  
Fourth Group ◽  
The Third ◽  
Aortic Valvuloplasty ◽  
High Surgical Risk

Introduction.Aortic valve stenosis is the most common valvular pathology in cardiac surgery patients: aortic valve stenosis correction surgery accounts for 10 to 22% of open-heart surgery. 30% of senile patients with severe aortic stenosis due to severe comorbidity and high operational mortality are denied prosthetics of the aortic valve under cardiopulmonary bypass. With the appearance of endovascular correction - minimally invasive surgical treatment methodsthe problem of choosing a method of correction of severe aortic stenosis in these patients arose. Objectives. To select a method for surgical correction of severe aortic valve stenosis in senile patients, determine the place of intra-aortic valvuloplasty in treatment, and create an algorithm for treatment of senilepatients. Patients and methods. The study included 122 patients >75 years old with severe aortic stenosis, confirmed by echocardiography (aortic valve area<1 cm2, mean pressure gradient (aortic valve) >40 mm Hg, peak velocity (aortic valve) >4.0 m/s), undergoing treatment at Cardiovascular Surgery Dept of the BurdenkoMain Military Clinical Hospital in 2010 – 2017. Due to the high surgical risk, patients of the first group (n = 89) underwent only conservative drug therapy, patients of the second group (n = 12) underwent prosthetic aortic valve replacement under cardiopulmonary bypass, and patients of the third group (n = 8) underwent balloon aortic valvuloplasty valve, after which 7 of them entered the fourth group, patients of the fourth group (n = 20) performed Transcatheter Aortic Valve Implantation . Results. In the maximum follow-up three-year period, the mortality rate in patients of the first group was 49.5%, the severity of heart failure in most of the surviving patients was at III-IV Class(NYHA); mortality in the second group of observation was 16.6%, there was a decrease in the severity of heart failure - the transition of most patients from III - IV to II Class (NYHA); in 7 out of 8 patients of the third group, after performing aortic valve valvuloplasty, hemodynamic stabilization was noted - in 5 patients there was a decrease in the manifestations of heart failure to III Class and in 2 patients - to II Class (NYHA), all of them entered the fourth group, in which, after performing TIAK the mortality was not notedduring the three-year observation of. Conclusions. In senile patients, surgical treatment of severe aortic stenosis is the method of choice and can significantly increase the one-year and three-year survival. In the group of senile patients with high surgical risk, endovascular correction of aortic stenosis is preferred. Balloon valvuloplasty of the aortic valve can be considered as a stage in the surgical treatment of severe aortic stenosis in patients with extremely high surgical risk. The next step in this group of patients should be performed transcatheter implantation of the aortic valve. The developed algorithm of a differentiated approach to the choice of a treatment method for severe aortic stenosis in senile patients allows a 32% increase (p <0.05) in the number of cases of radical surgical care for senile patients previously considered unpromising due to the impossibility of surgical treatment.

scholarly journals Lung cancer and aortic stenosis: one-stage surgical treatment

2021 ◽  
Vol 179 (5) ◽  
pp. 75-80
Author(s):  
A. A. Pechetov ◽  
B. G. Alekyan ◽  
A. N. Lednev ◽  
M. A. Makov ◽  
N. G. Karapetyan ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Surgical Treatment ◽  
Aortic Stenosis ◽  
Severe Aortic Stenosis ◽  
Adequate Treatment ◽  
One Stage ◽  
Oncological Diseases ◽  
Definition Of ◽  
Somatic Diseases

Surgical treatment of oncological diseases with concomitant somatic pathologies is a complex issue. In situations when concomitant somatic pathology also requires a surgical approach, the determination of adequate treatment tactics is most relevant. Delayed surgical treatment of cancer increases the risks of progression and generalization of the process; surgical treatment of a tumor against the background of decompensated concomitant pathology potentially entails risks of an unfavorable outcome. With a combination of oncological and somatic diseases, the definition of treatment algorithms today is one of the primary tasks.This paper presents a clinical observation of one-stage surgical treatment of lung cancer and severe aortic stenosis, provides a brief literature review on this topic. 

scholarly journals Successful Staged Surgical Treatment for Severe Aortic Stenosis Complicated Bowel Obstructive Colon Cancer: A Case Report

2014 ◽  
Vol 39 (5) ◽  
pp. 959-963
Author(s):  
Masaya Kainuma ◽  
Toshiki Takahashi ◽  
Hitoshi Suhara ◽  
Takashi Kido ◽  
Toru Ide ◽  
...  
Keyword(s):  
Colon Cancer ◽  
Case Report ◽  
Surgical Treatment ◽  
Aortic Stenosis ◽  
Severe Aortic Stenosis
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