Gamzaev A B, Medvedev A P, Chiginev V A, Lashmanov D I
Vestn Khir Im I I Grek. 2000;159(6):11-3.
The article presents indications to surgical correction of aortal stenosis and its variants in patients with rheumatic diseases combined with a lesion of other valves of the heart. The possibility to fulfill valve-saving plastic operations on the stenosed aortal valve was shown in 110 operations. The results obtained proved advantages of plastic operations over prostheses of the stenosed aortas without calcinosis universalis. Such operations allowed the intrahospital lethality to be considerably decreased. In later terms only two patients needed prostheses of the valve. The functional class was improved in the overwhelming majority of the patients.
本文介绍了风湿性疾病合并心脏其他瓣膜病变患者主动脉瓣狭窄及其变异的手术矫正指征。在110例手术中显示了对狭窄主动脉瓣进行保留瓣膜整形手术的可能性。所获得的结果证明，对于无全身性钙化的狭窄主动脉瓣，整形手术优于人工瓣膜置换术。此类手术可显著降低院内死亡率。在后期，只有两名患者需要进行瓣膜置换。绝大多数患者的功能分级得到了改善。
