ATRIAL SEPTUM FENESTRATION FOR PATIENT WITH IDIOPATHIC PULMONARY ARTERY HYPERTENSION
V. V. Plechev,
T. Z. Aminov,
I. V. Buzaev,
I. E. Nikolaeva,
B. A. Oleynik,
G. A. Khalikova,
A. I. Davletbaeva https://doi.org/10.24060/2076-3093-2018-8-1-14-20
Abstract
Introduction. Pulmonary arterial hypertension (PAH) is a rare disease of unknown etiology, characterized by increased resistance of pulmonary vessels, which leads to right ventriculae heart failure and, eventually, death. At the same time, according to the literature, it has been established that the presence of an atrial septum defect in patients with idiopathic PAH (iPAH), is accompanied by a longer life expectancy, improves its quality and is the prevention of sudden death due to the development of a pulmonary hypertensive crisis. We decided to perform an operation to create an atrial septum communication (ASC) in patients with iPAH.
Materials and methods. Clinical cases showed efficiency in creating interatrial septum fenestration by implantation of intentionally fenestrated occluder in patients with PAH.
Results. It was in studies revealing that the advantage of this method as compared to others is close good fixation of the device on interatrial baffle which reduces possibility for the device to migrate from fixed position in the heart cavity and to reduce intra-operative complication. After implantation of fenestrated occluder the patients showed significant improvement of life quality: decrement of breathlessness, higher tolerance to physical exertion, less swelling in lower limbs, absence of syncopal condition. Such procedure perhaps prolongs life time.
Conclusion. Implantation of fenestrated occluder, modified in intra-operative conditions, can be an adequate method to help patients with iPAH, under conditions of unavailability of special devices in the market.
About the Authors
V. V. Plechev
Bashkir State Medical University
Russian Federation
Russian Federation
Doctor of Medical Sciences, Professor, Corresponding member of the Academy of Sciences of the Republic of Bashkortostan, Head of the Department of Hospital Surgery, member of the Presidium of the Association of Surgeons of the Republic of Bashkortostan,
3 Lenin str., Ufa, 450008
T. Z. Aminov
Republican Cardiology Center
Russian Federation
Russian Federation
Interventional radiology physician,
96 Stepan Kuvykin str., Ufa, 450106
I. V. Buzaev
Republican Cardiology Center;
Bashkir State Medical University
Russian Federation
Russian Federation
Candidate of Medical Sciences, Head of the Interventional Rardiology Department № 1, Associate professor at the Department of Hospital Surgery,
96 Stepan Kuvykin str., Ufa, 450106
I. E. Nikolaeva
Republican Cardiology Center
Russian Federation
Russian Federation
Candidate of Medical Sciences, Chief Medical Officer, Cardiologist-in-chief at the Ministry of Healthcare of the Republic of Bashkortostan,
96 Stepan Kuvykin str., Ufa, 450106
B. A. Oleynik
Republican Cardiology Center;
Bashkir State Medical University
Russian Federation
Russian Federation
Candidate of Medical Sciences, Deputy Chief Medical Officer for Surgical Affairs, Associate professor at the Department of Hospital Surgery,
96 Stepan Kuvykin str., Ufa, 450106
G. A. Khalikova
Republican Cardiology Center
Russian Federation
Russian Federation
Candidate of Medical Sciences, Physician of functional diagnostics,
96 Stepan Kuvykin str., Ufa, 450106
A. I. Davletbaeva
Republican Cardiology Center
Russian Federation
Russian Federation
Candidate of Medical Sciences, Cardiologist at the Cardiac Surgery Department № 2,
96 Stepan Kuvykin str., Ufa, 450106
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Review
For citations:
Plechev V.V., Aminov T.Z., Buzaev I.V., Nikolaeva I.E., Oleynik B.A., Khalikova G.A., Davletbaeva A.I. ATRIAL SEPTUM FENESTRATION FOR PATIENT WITH IDIOPATHIC PULMONARY ARTERY HYPERTENSION. Creative surgery and oncology. 2018;8(1):14-20. (In Russ.) https://doi.org/10.24060/2076-3093-2018-8-1-14-20
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