Operations of valve-preserving prosthetics for aortic root aneurysms relieve the patient from the mandatory intake of blood-reducing drugs and potential complications from their use, as well as from prosthetic-related complications. With the preservation of the leaflets, in more than 30 % of cases, the preservation of the aortic valve is possible. For the period 01/01/2019-09/01/2022, 33 aortic root replacement surgeries were performed at the CWC of St. Joasaph's Regional Clinical Hospital. In 19 (57.6 %) cases with degenerative lesions of the leaflets, aortic valve replacement was performed: according to the method of Bentall H., De Bono A. in 11 (33.3 %) cases, with implantation of the conduit inside the preserved aneurysmal sac according to the method of Kouchoukos N.T. 8 (24.2 %). Of the 33 surgeries, 14 (42.4 %) were performed using the David T.E. valve-preserving technique. Patients: 13 men, 1 woman, age 23-68 (55.5 ± 12.4) years. In 13 cases, the operation was performed on the tricuspid aortic valve and in 1 case, on the bicuspid valve. One operation was performed for chronic dissecting aneurysm of the ascending aorta type 2 according to M. DeBakey. There were no aortas in the general group: in-hospital mortality, bleeding, A-B blockade. All patients were discharged within the standard postoperative period. There was one successful reoperation in the valve-preserving ascending group. Tranthoracic echocardiography at discharge assessed regurgitation on the preserved aortic valve at grade 1-2. Our results of application of operation David T.E. correspond to the global statistics of the treatment of this pathology. In the long-term period, patients lead a normal life, without restrictions on drug therapy. This operation has shown good results and will therefore be continued.
Operations of valve-preserving prosthetics for aortic root aneurysms relieve the patient from the mandatory intake of blood-reducing drugs and potential complications from their use, as well as from prosthetic-related complications. With the preservation of the leaflets, in more than 30 % of cases, the preservation of the aortic valve is possible. For the period 01/01/2019-09/01/2022, 33 aortic root replacement surgeries were performed at the CWC of St. Joasaph's Regional Clinical Hospital. In 19 (57.6 %) cases with degenerative lesions of the leaflets, aortic valve replacement was performed: according to the method of Bentall H., De Bono A. in 11 (33.3 %) cases, with implantation of the conduit inside the preserved aneurysmal sac according to the method of Kouchoukos N.T. 8 (24.2 %). Of the 33 surgeries, 14 (42.4 %) were performed using the David T.E. valve-preserving technique. Patients: 13 men, 1 woman, age 23-68 (55.5 ± 12.4) years. In 13 cases, the operation was performed on the tricuspid aortic valve and in 1 case, on the bicuspid valve. One operation was performed for chronic dissecting aneurysm of the ascending aorta type 2 according to M. DeBakey. There were no aortas in the general group: in-hospital mortality, bleeding, A-B blockade. All patients were discharged within the standard postoperative period. There was one successful reoperation in the valve-preserving ascending group. Tranthoracic echocardiography at discharge assessed regurgitation on the preserved aortic valve at grade 1-2. Our results of application of operation David T.E. correspond to the global statistics of the treatment of this pathology. In the long-term period, patients lead a normal life, without restrictions on drug therapy. This operation has shown good results and will therefore be continued.