“Valve-On-Valve” — an alternative method of surgical treatment of tissue valve dysfunctions

Every year, the frequency of use of biological prostheses for treatment of valvular heart disease increases.The implantation of a biological prosthesis allows avoiding lifelong anticoagulant therapy, but at the same time it may require further replacement due to the dysfunction development.Tradition...

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Main Authors: N. V. Rogulina, I. K. Khalivopulo
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2019-09-01
Series:Российский кардиологический журнал
Subjects:
Online Access:https://russjcardiol.elpub.ru/jour/article/view/3360
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author N. V. Rogulina
I. K. Khalivopulo
author_facet N. V. Rogulina
I. K. Khalivopulo
author_sort N. V. Rogulina
collection DOAJ
description Every year, the frequency of use of biological prostheses for treatment of valvular heart disease increases.The implantation of a biological prosthesis allows avoiding lifelong anticoagulant therapy, but at the same time it may require further replacement due to the dysfunction development.Traditional reoperation is associated with a certain risk of trauma to various structures and cardiac chambers during explantation of non-functioning valve.Transcatheter replacement of the prosthesis (“valve-in-valve”) is not always realizable due to lack of routes for the delivery system and small diameter of the initial valve.“Valve-in-valve” is not always demanded because it does not provide an option to choose mechanical or biological prosthesis.Valve-on-valve implantation technique implies that the new prosthesis is implanted in the carcass of the previous valve. It allows avoiding severe intraoperative complications, reducing the duration of the main stage of the surgery and adverse events in the early postoperative period, and provide an option to choose implantable device.In this review, the authors attempted to comprehensively evaluate the world experience in applying the “valve-on-valve” technique.
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language Russian
publishDate 2019-09-01
publisher «FIRMA «SILICEA» LLC
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series Российский кардиологический журнал
spelling doaj-art-fe4e521dc0a74390b8fbecee52cd422c2025-08-20T02:59:07Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202019-09-010814014910.15829/1560-4071-2019-8-140-1492708“Valve-On-Valve” — an alternative method of surgical treatment of tissue valve dysfunctionsN. V. Rogulina0I. K. Khalivopulo1Research Institute for Complex Issues of Cardiovascular DiseasesResearch Institute for Complex Issues of Cardiovascular DiseasesEvery year, the frequency of use of biological prostheses for treatment of valvular heart disease increases.The implantation of a biological prosthesis allows avoiding lifelong anticoagulant therapy, but at the same time it may require further replacement due to the dysfunction development.Traditional reoperation is associated with a certain risk of trauma to various structures and cardiac chambers during explantation of non-functioning valve.Transcatheter replacement of the prosthesis (“valve-in-valve”) is not always realizable due to lack of routes for the delivery system and small diameter of the initial valve.“Valve-in-valve” is not always demanded because it does not provide an option to choose mechanical or biological prosthesis.Valve-on-valve implantation technique implies that the new prosthesis is implanted in the carcass of the previous valve. It allows avoiding severe intraoperative complications, reducing the duration of the main stage of the surgery and adverse events in the early postoperative period, and provide an option to choose implantable device.In this review, the authors attempted to comprehensively evaluate the world experience in applying the “valve-on-valve” technique.https://russjcardiol.elpub.ru/jour/article/view/3360biological prostheses of heart valvesbioprosthesis dysfunctionsreoperationstavivalve-on-valve
spellingShingle N. V. Rogulina
I. K. Khalivopulo
“Valve-On-Valve” — an alternative method of surgical treatment of tissue valve dysfunctions
Российский кардиологический журнал
biological prostheses of heart valves
bioprosthesis dysfunctions
reoperations
tavi
valve-on-valve
title “Valve-On-Valve” — an alternative method of surgical treatment of tissue valve dysfunctions
title_full “Valve-On-Valve” — an alternative method of surgical treatment of tissue valve dysfunctions
title_fullStr “Valve-On-Valve” — an alternative method of surgical treatment of tissue valve dysfunctions
title_full_unstemmed “Valve-On-Valve” — an alternative method of surgical treatment of tissue valve dysfunctions
title_short “Valve-On-Valve” — an alternative method of surgical treatment of tissue valve dysfunctions
title_sort valve on valve an alternative method of surgical treatment of tissue valve dysfunctions
topic biological prostheses of heart valves
bioprosthesis dysfunctions
reoperations
tavi
valve-on-valve
url https://russjcardiol.elpub.ru/jour/article/view/3360
work_keys_str_mv AT nvrogulina valveonvalveanalternativemethodofsurgicaltreatmentoftissuevalvedysfunctions
AT ikkhalivopulo valveonvalveanalternativemethodofsurgicaltreatmentoftissuevalvedysfunctions