AN AORTIC VALVE-SPARING OPERATION: INDICATIONS, TECHNICAL ASPECTS AND RESULTS

Reconstructive valve-sparing procedures on the aortic valve are one of most dynamically developing directions in cardiac surgery. Today surgeons all over world prefer sparingoperation using autologous tissues instead biological and mechanical prosthetics. The Ross, Yakub, David, Ozaki have proved their effectives, indicators long-term freedom from reoperations not inferior to classical In this review authors describe key points native reconstruction. Especially, surgical point view issues anatomy root determination optimal «patients» for procedure discussed. principles reconstruction various variants development, such as uni-, bi-, three-, quadricuspid anatomy, presented details. approaches repair described step by step, including a description exposure technique, options correcting prolapse, eliminating fenestration, annuloplasty. evaluation literature data showed that overall risks isolation or component combined intervention nothigher than patients with violation orientation commissures, use pericardialcatheter, well expansion annulus fibrous considred an independent risk factors significant regurgitation long term after