OPTIMIZATION OF SURGICAL TREATMENT OF PATIENTS WITH AORTIC VALVE DISEASES AND SEVERE LEFT VENTRICULAR SYSTOLIC DYSFUNCTION

Abstract

An analysis of the results of surgical treatment of patients with aortic valve diseases and severe left ventricular systolic dysfunction (ejection fraction less than 35%) for the period from January 2005 to April 2011. The study included 39 patients who performed the aortic valve diseases correction. In order to improve the results of sur- gery was used developed a protocol that included preventive training in the intensive care unit with cardioto- nic drug levosimendan, the use of permanent methods of perioperative renal replacement therapy, using a hybrid approach with a combination of diseases with coronary artery disease. Hospital mortality was 5,1%. Based on these results it was concluded that the developed protocol can significantly improve the results of surgical treat- ment of patients with such severe category.

Keywords

• aortic valve diseases
• left ventricular systolic dysfunction
• hybrid approach
• protocol optimization.