FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely to cardiovascular surgery. Endovenous synthetic patch is implanted in the patients with left ventricular postinfarction aneurysms. Oval synthetic patch equal to the diameter of the aneurysm in its widest part is implanted with two continuous blanket sutures. First suture is started in a basal part of an interventricular septum (IVS), and then along a partition wall to an apex of a left ventricle and further towards a back and lateral walls of LV. Second continuous blanket suture starts from the previous seam at a distance equal to half the radius of the patch. Second seam direction corresponds to the first one. Then one U-suture is applied in the center of the patch, which is brought out through the modified cicatrical endocardium on the external surface of the left ventricle (LV) and is fastened before suturing the ventriculotomy hole on the tread gasket.
EFFECT: method enables avoiding inadequate reduction of the left ventricular cavity and restoring the left ventricular carcass by forming neoapex.
1 cl, 2 dwg, 2 ex
| Title | Year | Author | Number |
|---|---|---|---|
| METHOD FOR ELIMINATING ADDITIONAL CAVITY OF LEFT VENTRICLE DURING ITS RECONSTRUCTION | 2021 |
|
RU2770982C1 |
| METHOD FOR CLOSING POSTINFARCTION INTER-VENTRICULAR DEFECT AT SIMULTANEOUS REMOVAL OF CARDIAC ANEURYSM | 2003 |
|
RU2266714C2 |
| METHOD OF USING 3D MODEL OF LEFT VENTRICULAR CAVITY (LV) | 2014 |
|
RU2580218C2 |
| METHOD OF FORMING MOST PROXIMATE TO PHYSIOLOGICAL LEFT HEART VENTRICLE CAVITY IN PATIENTS WITH ANTEROSEPTAL ANEURYSMS DURING ITS RECONSTRUCTION BY L MENICANTI METHOD | 2016 |
|
RU2620049C1 |
| COMBINED SURGICAL METHOD OF TREATING PATIENTS WITH ISCHEMIC HEART DISEASE WITH POST-INFARCTION LEFT VENTRICULAR ANEURYSM AND VENTRICULAR TACHIARRHYTHMIAS | 2009 |
|
RU2391922C1 |
| METHOD OF PREPARATION PATIENTS WITH CORONARY HEART DISEASE WITH POSTINFARCTION LEFT VENTRICULAR ANEURYSM AND VENTRICULAR TACHYCARDIAS FOR SURGERY OF ANEURYSMECTOMY WITH ENDOCARDECTOMY | 2009 |
|
RU2397718C1 |
| METHOD OF CHOOSING SURGICAL TREATMENT IN PATIENTS WITH CHRONIC POSTINFARCTION LEFT VENTRICULAR ANEURYSM AT THE PREOPERATIVE STAGE | 2022 |
|
RU2797959C1 |
| METHOD FOR STABILISING LEFT VENTRICULAR SHAPE AND ELIMINATING RESIDUAL CAVITY UNDER PATCH WHEN REPAIRING SAME ACCORDING TO Dor TECHNIQUE | 2014 |
|
RU2564076C1 |
| METHOD FOR DIAGNOSTICS OF LEFT VENTRICULAR THROMBOTIC FORMATIONS | 2021 |
|
RU2773860C1 |
| METHOD OF PREDICTING EFFECTIVENESS OF DIRECT REVASCULARIZATION PROCEDURE IN PATIENTS WITH CORONARY HEART DISEASE COMPLICATED BY PRONOUNCED DECREASE IN CONTRACTILITY OF LEFT VENTRICLE | 2023 |
|
RU2814402C1 |
