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Surgical treatment of mitral stenosis, complicated by massive thrombosis of the left atrium
- Source :
- Клінічна хірургія, Vol 85, Iss 9, Pp 19-23 (2018)
- Publication Year :
- 2018
- Publisher :
- Liga-Inform ltd., 2018.
-
Abstract
- Objective. To analyze the peculiarities of surgical treatment of a mitral stenosis, complicated by massive thrombosis of left atrium. Маterials and methods. The group analyzed, operated in the Institute, consisted of 344 patients. Thrombosis of left atrium was considered a massive, when thrombotic masses have occupied no less than one third of its volume, not mentioning an auricle of atrium. Results. Hospital lethality after change of a mitral valve have constituted 4.2% and directly depended on from a degree of the left atrium thrombosis (р < 0.05). After open mitral comissurotomy hospital lethality was not observed, witnessing the expediency of the thrombosis matrix extraction. Conclusion. During the operation for a massive thrombosis of left atrium it is important to remove a maternal base of thrombotic bed and to eliminate the left atrium auricle, what lowers essentially the risk for lethality and thromboembolic complications on a hospital stage. Doing preoperative computed tomography of head and abdominal organs constitutes obligatory condition for exclusion of a hidden thromboembolism occurrence.
Details
- Language :
- Russian, Ukrainian
- ISSN :
- 00232130 and 25221396
- Volume :
- 85
- Issue :
- 9
- Database :
- Directory of Open Access Journals
- Journal :
- Клінічна хірургія
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.0286a748535e4000b4b4ec8da0d593da
- Document Type :
- article
- Full Text :
- https://doi.org/10.26779/2522-1396.2018.09.19