[Show abstract][Hide abstract] ABSTRACT: The heart transplantation constitutes the method of choice in the treatment of patients, suffering heart insufficiency, tolerant to medicinal therapy. Nevertheless, the donor's organs deficiency problem makes it necessary to search for methods of surgical treatment, which are alternative to transplantation and which would secure the patients life span prolongation as well as the quality of life improvement. New approach in surgical treatment of patients, suffering severe cardiac insufficiency have proposed Brazilian surgeon R. Batista. Experience of surgical treatment of 37 patients with dilatational cardiomyopathy and severe cardiac insufficiency (functional class III-IV, NYHA) is presented. In these patients surgical remodelling of left ventricle was done together with local myocardium plasty between papillary muscles base of mitral and tricuspid valves. Fair immediate and late results are noted.
No preview · Article · Jul 2006 · Klinicheskaia khirurgiia
[Show abstract][Hide abstract] ABSTRACT: Basing on results of pathologoanatomical investigations, performed in 26 cases, the lungs changes in pulmonary thromboembolism were analyzed. It was shown, that an acute thromboembolism of a. pulmonalis main branches did not cause an acute necrosis of pulmonary alveolar tissue, but induces progressive diffuse changes of their microcircular bed, concomitant with pulmonary hypertension. In cases of chronical pulmonary thromboembolism the diffuse vascular sclerosis of the nonaffected lung and the alveolar tissue emphysema are formed, and in such cases the signs of pulmonary hypertension showing hypertrophy of the muscular vessels middle layer as well as their intima hyperplasia are revealed. This determines the expediency of earlier start of thrombolytic therapy conduction as well as surgical intervention in an acute pulmonary thromboembolism.
No preview · Article · Aug 2005 · Klinicheskaia khirurgiia
[Show abstract][Hide abstract] ABSTRACT: The improvement of the treatment results and efficacy of the endovascular prophylaxis methods in patients at risk for pulmonary thromboembolism (PTHE) occurrence constitute the aim of the investigation. The work is based on retrospective analysis of the treatment results of 114 patients, to whom cava filter (CF) was implanted for the PTHE accidents prophylaxis. During hospital period after the CF implantation the PTHE reattacks were revealed in 4 patients, the CF embolism and thrombosis--in 10, the ascending thrombosis--in 8, the CF dislocation and migration--in 8. Late results of the CF implantation were studied in 54 patients in terms from 1 to 10 years. In 3 of them the symptomless perforation of vena cava inferior (VCI) wall was diagnosed with nonsignificant CF diversion, distal migration of CF with adequate preservation of antiembolic function--in 1, the thrombosis had occurred in 5 patients. The CF implantation into VCI is an effective method of endovascular prophylaxis of fatal PTHE. The high efficacy of CF "Osot" was evidenced, witnessing the expediency of its clinical application.
No preview · Article · Jul 2005 · Klinicheskaia khirurgiia
[Show abstract][Hide abstract] ABSTRACT: The experience of artificial blood circulation application in 45 patients during surgical intervention performance for the pulmonary artery thromboembolism and vena cava inferior thrombosis was summarized. Peculiarities of the artificial blood circulation preparation and conduction were depicted and characteristic of the hemodynamics and oxygen metabolism indexes on various stages of operative treatment was presented. Analysis of results of treatment in patients after the operation was conducted. The efficacy of the operative treatment conduction was shown.
No preview · Article · Apr 2005 · Klinicheskaia khirurgiia
[Show abstract][Hide abstract] ABSTRACT: Influence of hemodilution on the oxygen metabolism in patients, operated, using the artificial blood circulation apparatus, was studied up. Factors, determining the oxygen delivery to tissues, was estimated, correlational links between the blood rheological properties and its oxygen--transporting function were established. Experience of application of apparatus Aeprex, promoting the oxygen delivery to tissue improvement and the need in donor's blood lowering, performing operations, using the artificial blood circulation apparatus.
No preview · Article · Oct 2002 · Klinicheskaia khirurgiia
[Show abstract][Hide abstract] ABSTRACT: The results of bacteriological monitoring in intensive care units of ICVS AMS of Ukraine, specializing on the treatment of patients after conduction of operation on "open heart", were analyzed. In 1998-2001 yrs the S. Epidermidis and Enterobacter strains had constituted the most frequent causes of septic state in patients. Experience of application of different antibacterial preparations was summarized, the main principles of their administration were formulated. Modern approaches to the treatment and prophylaxis of purulent-septic complications were depicted.
No preview · Article · Jan 2002 · Klinicheskaia khirurgiia