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Plastic surgery for cardiac valves: 15 years' experience.
B A Konstantinov1, V A Ivanov, Tarichko YuV
1National Research Center of Surgery, Moscow, Union of Soviet Socialist Republics.
The Annals of Thoracic Surgery
|September 1, 1989
Summary
Cardiac surgeons should consider reconstructive plastic surgery for heart valve diseases. This approach, demonstrated over 15 years with 903 procedures, offers viable survival rates for mitral, aortic, and tricuspid valve conditions.
Area of Science:
- Cardiovascular Surgery
- Plastic Surgery
- Cardiac Valve Repair
Background:
- Modern prostheses exist for heart valve diseases.
- Reconstructive plastic surgery is an alternative consideration.
Purpose of the Study:
- To evaluate the efficacy of plastic surgical procedures for acquired heart valve diseases.
- To present a novel stent plasty technique for aortic valve disease.
Main Methods:
- Analysis of 903 plastic surgical procedures using cardiopulmonary bypass over 15 years.
- Procedures included mitral (636), aortic (51), and tricuspid (216) valve disease.
- Development and application of a new stent plasty method for aortic valve disease.
Main Results:
- 15-year survival for mitral stenosis: 68% +/- 5%.
- 8-year survival for mitral insufficiency: 81% +/- 3%.
- 10-year survival for mitral and tricuspid valve disease: 59% +/- 3%.
- Novel aortic valve procedure demonstrated good hemodynamic effect.
Conclusions:
- Reconstructive plastic surgery is a viable option for heart valve disease patients.
- The new aortic valve stent plasty offers an effective solution for acquired aortic valve disease.