The immediate result of replacing the aortic root with a decellularized valve-containing allograft in a child
Cardiac surgery of the aortic valve in pediatric patients is an urgent problem. Performing an open aortic commissurotomy and planar resection of the valves during the newborn period allows to obtain suboptimal results and postpone subsequent interventions indefinitely. With an unsatisfactory result...
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| Format: | Article |
| Language: | Russian |
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Pavlov First Saint Petersburg State Medical University
2023-04-01
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| Series: | Вестник хирургии имени И.И. Грекова |
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| Online Access: | https://www.vestnik-grekova.ru/jour/article/view/2043 |
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| author | A. V. Nokhrin V. A. Bolsunovsky E. S. Kulemin T. L. Kornishina E. V. Trizna L. L. Popova E. M. Gvozd D. O. Ivanov |
| author_facet | A. V. Nokhrin V. A. Bolsunovsky E. S. Kulemin T. L. Kornishina E. V. Trizna L. L. Popova E. M. Gvozd D. O. Ivanov |
| author_sort | A. V. Nokhrin |
| collection | DOAJ |
| description | Cardiac surgery of the aortic valve in pediatric patients is an urgent problem. Performing an open aortic commissurotomy and planar resection of the valves during the newborn period allows to obtain suboptimal results and postpone subsequent interventions indefinitely. With an unsatisfactory result of open aortic commissurotomy in children of the first years of life, the need to search for optimal surgical tactics arises. The presented article describes the technique of replacing the aortic root with a decellularized valve-containing allograft in a child of 14 months of life. A good immediate result of the operation is associated with the ability of the allograft to provide physiological hemodynamics in the aortic position. The advantages of the described technique are the reduction in the time and complexity of surgical intervention, the possibility of preserving own pulmonary valve, the probability of recellularization and the possibility of graft growth with the growth of the child. That is precisely why the presented technique should be considered as an alternative to Ross surgery, especially if there are anatomical contraindications to it. |
| format | Article |
| id | doaj-art-33d2ec07d09c450fb870e4ae4a06307d |
| institution | Kabale University |
| issn | 0042-4625 |
| language | Russian |
| publishDate | 2023-04-01 |
| publisher | Pavlov First Saint Petersburg State Medical University |
| record_format | Article |
| series | Вестник хирургии имени И.И. Грекова |
| spelling | doaj-art-33d2ec07d09c450fb870e4ae4a06307d2025-08-20T03:43:57ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252023-04-011814717610.24884/0042-4625-2022-181-4-71-761422The immediate result of replacing the aortic root with a decellularized valve-containing allograft in a childA. V. Nokhrin0V. A. Bolsunovsky1E. S. Kulemin2T. L. Kornishina3E. V. Trizna4L. L. Popova5E. M. Gvozd6D. O. Ivanov7Saint Petersburg State Pediatric Medical UniversitySaint Petersburg State Pediatric Medical UniversitySaint Petersburg State Pediatric Medical UniversitySaint Petersburg State Pediatric Medical UniversitySaint Petersburg State Pediatric Medical UniversitySaint Petersburg State Pediatric Medical UniversitySaint Petersburg State Pediatric Medical UniversitySaint Petersburg State Pediatric Medical UniversityCardiac surgery of the aortic valve in pediatric patients is an urgent problem. Performing an open aortic commissurotomy and planar resection of the valves during the newborn period allows to obtain suboptimal results and postpone subsequent interventions indefinitely. With an unsatisfactory result of open aortic commissurotomy in children of the first years of life, the need to search for optimal surgical tactics arises. The presented article describes the technique of replacing the aortic root with a decellularized valve-containing allograft in a child of 14 months of life. A good immediate result of the operation is associated with the ability of the allograft to provide physiological hemodynamics in the aortic position. The advantages of the described technique are the reduction in the time and complexity of surgical intervention, the possibility of preserving own pulmonary valve, the probability of recellularization and the possibility of graft growth with the growth of the child. That is precisely why the presented technique should be considered as an alternative to Ross surgery, especially if there are anatomical contraindications to it.https://www.vestnik-grekova.ru/jour/article/view/2043congenital aortic stenosisallograftdecellularization |
| spellingShingle | A. V. Nokhrin V. A. Bolsunovsky E. S. Kulemin T. L. Kornishina E. V. Trizna L. L. Popova E. M. Gvozd D. O. Ivanov The immediate result of replacing the aortic root with a decellularized valve-containing allograft in a child Вестник хирургии имени И.И. Грекова congenital aortic stenosis allograft decellularization |
| title | The immediate result of replacing the aortic root with a decellularized valve-containing allograft in a child |
| title_full | The immediate result of replacing the aortic root with a decellularized valve-containing allograft in a child |
| title_fullStr | The immediate result of replacing the aortic root with a decellularized valve-containing allograft in a child |
| title_full_unstemmed | The immediate result of replacing the aortic root with a decellularized valve-containing allograft in a child |
| title_short | The immediate result of replacing the aortic root with a decellularized valve-containing allograft in a child |
| title_sort | immediate result of replacing the aortic root with a decellularized valve containing allograft in a child |
| topic | congenital aortic stenosis allograft decellularization |
| url | https://www.vestnik-grekova.ru/jour/article/view/2043 |
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