MINI-INVASIVE AORTIC VALVE REPLACEMENT IN 97-YEAR PATIENT

Q4 Medicine Novosti Khirurgii Pub Date : 2021-08-26 DOI:10.18484/2305-0047.2021.4.510
G. Yemets, O. Telehuzova, Ye.A. Chernetskyi, G.B. Mankovskyi, Y. Marushko
{"title":"MINI-INVASIVE AORTIC VALVE REPLACEMENT IN 97-YEAR PATIENT","authors":"G. Yemets, O. Telehuzova, Ye.A. Chernetskyi, G.B. Mankovskyi, Y. Marushko","doi":"10.18484/2305-0047.2021.4.510","DOIUrl":null,"url":null,"abstract":"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 patient’s 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 patient’s 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. Anysurgical procedurehasrisks associatedwith 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 minimizestheserisks.","PeriodicalId":38373,"journal":{"name":"Novosti Khirurgii","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2021-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Novosti Khirurgii","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.18484/2305-0047.2021.4.510","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0

Abstract

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 patient’s 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 patient’s 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. Anysurgical procedurehasrisks associatedwith 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 minimizestheserisks.
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
97岁患者的微创主动脉瓣置换术
这篇综述的重点是老年严重主动脉狭窄患者治疗策略的选择。这项研究表明,手术方法和选择的可变性通常是有限的,这是由于与此类患者的年龄相对特点相关的过度谨慎。多学科综合方法的有效性已经得到证明,其结果是通过提高患者的生活质量和持续时间来衡量的。一例97岁患者的微创主动脉瓣置换术在世界文献中是独一无二的。毫无疑问,影响老年患者治疗策略选择的关键指标是:患者的总体状况、合并症和术后快速康复的能力。因此,微创手术和经导管主动脉瓣植入术(TAVI)被认为是这些患者的首选方法。TAVI作为一种选择并不总是可用的,特别是在经济状况不稳定的国家。在给定的病例中,对患者进行了多阶段的术前准备,以稳定总体状况并补偿合并症。因此,针对高危患者的术前期优化有利于术后的快速康复和适应。任何外科手术都有相关的风险,因此在当前临床心脏手术中广泛使用的混合方法,在治疗老年患者方面尤其有价值,因为它将风险降至最低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Novosti Khirurgii
Novosti Khirurgii Medicine-Surgery
CiteScore
0.50
自引率
0.00%
发文量
15
期刊最新文献
ANTIBACTERIAL ACTION OF SILVER NANOPARTICLES ASSESSMENT OF PORTAL HYPERTENSION SEVERITY IN LIVER CIRROSIS PREVENTION OF SUTURE INSUFFICIENCY IN INTESTINAL ANASTOMOSES VERTICAL RECTUS ABDOMINIS MUSCLE FLAP FOR REPAIR OF THE ANTERIOR CHEST WALL DEFECT STRUCTURE OF MICROFLORA AND ANTIBIOTIC RESISTANCE TRENDS IN INTENSIVE CARE UNIT OF A MULTIDISCIPLINE INSTITUTION
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1