ATRIAL SEPTUM FENESTRATION FOR PATIENT WITH IDIOPATHIC PULMONARY ARTERY HYPERTENSION
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 th...
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Bashkir State Medical University
2018-08-01
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| Series: | Креативная хирургия и онкология |
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| Online Access: | https://www.surgonco.ru/jour/article/view/294 |
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| author | V. V. Plechev T. Z. Aminov I. V. Buzaev I. E. Nikolaeva B. A. Oleynik G. A. Khalikova A. I. Davletbaeva |
| author_facet | V. V. Plechev T. Z. Aminov I. V. Buzaev I. E. Nikolaeva B. A. Oleynik G. A. Khalikova A. I. Davletbaeva |
| author_sort | V. V. Plechev |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-ff86a49c2992465f8bafa3bb02260d54 |
| institution | DOAJ |
| issn | 2076-3093 2307-0501 |
| language | English |
| publishDate | 2018-08-01 |
| publisher | Bashkir State Medical University |
| record_format | Article |
| series | Креативная хирургия и онкология |
| spelling | doaj-art-ff86a49c2992465f8bafa3bb02260d542025-08-20T03:19:20ZengBashkir State Medical UniversityКреативная хирургия и онкология2076-30932307-05012018-08-0181142010.24060/2076-3093-2018-8-1-14-20256ATRIAL SEPTUM FENESTRATION FOR PATIENT WITH IDIOPATHIC PULMONARY ARTERY HYPERTENSIONV. V. Plechev0T. Z. Aminov1I. V. Buzaev2I. E. Nikolaeva3B. A. Oleynik4G. A. Khalikova5A. I. Davletbaeva6Bashkir State Medical UniversityRepublican Cardiology CenterRepublican Cardiology Center; Bashkir State Medical UniversityRepublican Cardiology CenterRepublican Cardiology Center; Bashkir State Medical UniversityRepublican Cardiology CenterRepublican Cardiology CenterIntroduction. 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.https://www.surgonco.ru/jour/article/view/294pulmonary hypertensionatrioseptostomiafenestrated occludeintraoperative complications |
| spellingShingle | V. V. Plechev T. Z. Aminov I. V. Buzaev I. E. Nikolaeva B. A. Oleynik G. A. Khalikova A. I. Davletbaeva ATRIAL SEPTUM FENESTRATION FOR PATIENT WITH IDIOPATHIC PULMONARY ARTERY HYPERTENSION Креативная хирургия и онкология pulmonary hypertension atrioseptostomia fenestrated occlude intraoperative complications |
| title | ATRIAL SEPTUM FENESTRATION FOR PATIENT WITH IDIOPATHIC PULMONARY ARTERY HYPERTENSION |
| title_full | ATRIAL SEPTUM FENESTRATION FOR PATIENT WITH IDIOPATHIC PULMONARY ARTERY HYPERTENSION |
| title_fullStr | ATRIAL SEPTUM FENESTRATION FOR PATIENT WITH IDIOPATHIC PULMONARY ARTERY HYPERTENSION |
| title_full_unstemmed | ATRIAL SEPTUM FENESTRATION FOR PATIENT WITH IDIOPATHIC PULMONARY ARTERY HYPERTENSION |
| title_short | ATRIAL SEPTUM FENESTRATION FOR PATIENT WITH IDIOPATHIC PULMONARY ARTERY HYPERTENSION |
| title_sort | atrial septum fenestration for patient with idiopathic pulmonary artery hypertension |
| topic | pulmonary hypertension atrioseptostomia fenestrated occlude intraoperative complications |
| url | https://www.surgonco.ru/jour/article/view/294 |
| work_keys_str_mv | AT vvplechev atrialseptumfenestrationforpatientwithidiopathicpulmonaryarteryhypertension AT tzaminov atrialseptumfenestrationforpatientwithidiopathicpulmonaryarteryhypertension AT ivbuzaev atrialseptumfenestrationforpatientwithidiopathicpulmonaryarteryhypertension AT ienikolaeva atrialseptumfenestrationforpatientwithidiopathicpulmonaryarteryhypertension AT baoleynik atrialseptumfenestrationforpatientwithidiopathicpulmonaryarteryhypertension AT gakhalikova atrialseptumfenestrationforpatientwithidiopathicpulmonaryarteryhypertension AT aidavletbaeva atrialseptumfenestrationforpatientwithidiopathicpulmonaryarteryhypertension |