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Date: 3 months ago   Category: Society

Medical officers of hospital of A.A. Vishnevsky have performed unique heart operation


Medical officers of hospital of A.A. Vishnevsky have performed unique heart operation
In the Central military clinical hospital of A.A. Vishnevsky to the 74-year-old patient operation on implantation of the aortal valve by transfemorialny access — through a femoral artery is performed, without cutting a thorax. Success of operation is provided with harmonious work of teams of heart surgeons. The patient born in 1944 who has already undergone an open heart operation 11 years ago has come to the center of a heart surgery of hospital of A.A. Vishnevsky. To him operation of aortocoronary shunting has been executed. Heart surgeons should perform repeated heart operation that always constitutes a certain danger — only on formation of access to heart several hours are required. The modern hi-tech equipment in hospital of A.A. Vishnevsky allows to execute operation on replacement of the aortal valve, without cutting repeatedly a thorax. Heart surgeons have made the decision on carrying out operation by transfemorialny access (low-invasive). In hospital to the patient comprehensive examination has been executed previously. By results of a computer tomography the required valve for implantation is calculated. Then these parameters have been sent to Germany in the company manufacturer of the valve. After confirmation of a possibility of implantation by the producer стент the valve sick have begun to prepare for operation. Usually two teams of heart surgeons are involved in operation. The first is engaged in preparation of the valve — it is assembled, cooled with sterile ice and after that twisted so that he was located in the system of delivery of an artificial limb of the valve. The second crew is responsible for implantation of an artificial limb. Anesthesiologists install the cardiographic sensor to the patient through a gullet for control during implantation. Such operations are performed only in the operating room equipped with the angiograph. The hybrid complex of hospital of A.A. Vishnevsky is ideal for carrying out similar operations. Unlike open heart operation the old valve isn't removed - are moved apart by the device of delivery of a shutter of the old valve and under powerful pressure the special cylinder is inflated in such a way to unclench стент and to record it in the aorta. The correct installation of the valve gives a guarantee that it won't begin to change the situation and will well work. TAVI-operation has taken two hours and has taken place successfully. Thus, heart surgeons have avoided open intervention on heart and a long anesthesia, they hadn't to disconnect heart and to connect the device "artificial heart". In a day after operation the patient has been transferred to chamber and could move independently. He quickly adapted and in seven days in satisfactory condition has been discharged from hospital.
of mil.ru Lidiya Martynova Yesterday, 19:41 0

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