Poliakov V P, Goriachev V V, Shorokhov S E, Dunaev I U, Kolesnik I N
Vestn Khir Im I I Grek. 1996(1):17-20.
Long-term results (up to 3 years) of operative treatment of first patients with complex obstruction of the left ventricle outflow tract (hypertrophic cardiomyopathy--10 patients, congenital subaortic tunnel stenosis--1 patient) with the help of apico-aortic valved conduit are presented. There was no intrahospital lethality. Two patients died in late terms after operation who had been operated upon for the III degree of circulation insufficiency. Complications associated with using the valved conduit were not noted. All the patients operated upon did not need medicamentous therapy (indirect anticoagulants excluded), seven of them had the 1st functional class NYHA by the moment of examination, two had the 2nd functional class. Continuous observations have revealed a marked tendency to normalization of the hemo- and cardiodynamic parameters.
本文介绍了首批采用心尖-主动脉带瓣管道治疗左心室流出道复杂梗阻患者（肥厚型心肌病——10例，先天性主动脉瓣下隧道狭窄——1例）的长期结果（长达3年）。住院期间无死亡病例。两名因III度循环功能不全接受手术的患者在术后晚期死亡。未发现与使用带瓣管道相关的并发症。所有接受手术的患者均无需药物治疗（不包括间接抗凝剂），其中7例在检查时属于纽约心脏协会（NYHA）心功能I级，2例属于II级。持续观察显示，血液动力学和心脏动力学参数有明显的正常化趋势。
