Novosti
Khirurgii
This journal is
indexed in Scopus









Year 2021 Vol. 29 No 4

CASE REPORTS

DOI: https://dx.doi.org/10.18484/2305-0047.2021.4.510   |  

G.I. YEMETS, O.V. TELEHUZOVA, YE.A. CHERNETSKYI, G.B. MANKOVSKYI, YE.YU. MARUSHKO

MINI-INVASIVE AORTIC VALVE REPLACEMENT IN 97-YEAR PATIENT

Ukrainian Childrens Cardiac Center of the Ministry of Health of Ukraine, Kiev,
Ukraine

This review focuses on the choice of treatment strategy in elderly patients with severe aortic stenosis. The variability of surgical approaches and options, often limited due to excessive caution associated with the age-relative peculiarities of such patients has been shown in this study. The effectiveness of a multidisciplinary and integrated approach has been demonstrated, the result of which is measured by improving the quality and duration of the patients life. A case of mini-invasive aortic valve replacement in a 97-year-old patient is unique for the world literature. The key indicators that undoubtedly influence the choice of treatment tactics for an elderly patient are: the patients general condition, comorbidity and the ability of quick postoperative rehabilitation. Thus, minimally invasive surgery and transcatheter aortic valve implantation (TAVI) are considered to be the methods of choice for these patients. TAVI as an option is not always available, particular in countries with unstable economic conditions. In the given case, a multi-stage preoperative preparation of patient was performed to stabilize the general condition and to compensate the comorbidity. Thus, the preoperative period optimization for high-risk patients facilitated the rapid rehabilitation and adaptation after the operation. Any surgical procedure has risks associated with it, so the hybrid approach, widely used in a current clinical cardiac surgery, is especially valuable in the context of treating elderly patients, since it minimizes these risks.

Keywords: minimally invasive surgery, clinical observation, aortic valve stenosis, the elderly patients, cardiac surgery
p. 510-517 of the original issue
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Address for correspondence:
04050 Ukraine, Kiev,
Ilyenko Str., Ukrainian Childrens Cardiac
Center of the Ministry of Health of Ukraine,
tel. +3 80687044822,
e-mail: teleguzova5@gmail.com,
Telehuzova Alexandra V.
Information about the authors:
Yemets Gleb I., Cardiovascular Surgeon, the Department of Congenital and Acquired Heart Defects in Adults and Adolescents, Ukrainian Childrens Cardiac Center of the Ministry of Health of Ukraine, Kiev, Ukraine.
https://orcid.org/0000-0002-6139-6235
Telehuzova Alexandra V., Cardiologist, the Department of Congenital and Acquired Heart Defects in Adults and Adolescents, Ukrainian Childrens Cardiac Center of the Ministry of Health of Ukraine, Kiev, Ukraine.
https://orcid.org/0000-0003-4801-093X
Chernetskiy Yevheniy A., Cardiologist, the Department of Congenital and Acquired Heart Defects in Adults and Adolescents, Ukrainian Childrens Cardiac Center of the Ministry of Health of Ukraine, Kiev, Ukraine.
https://orcid.org/0000-0002-4487-6819
Mankovsky Georgiy B., PhD, Interventional Cardiologist, the Department of Emergency X-Ray Diagnostics, Ukrainian Childrens Cardiac Center of the Ministry of Health of Ukraine, Kiev, Ukraine.
https://orcid.org/0000-0003-4980-4571
Marushko Yevheniy Yu., PhD, Interventional Cardiologist, the Department of Emergency X-Ray Diagnostics, Ukrainian Childrens Cardiac Center of the Ministry of Health of Ukraine, Kiev, Ukraine.
https://orcid.org/0000-0002-0696-9926
Contacts | ©Vitebsk State Medical University, 2007