FIELD: medicine.
SUBSTANCE: invention refers to medicine, namely to cardiac surgery. Patch endoventriculoplasty is performed for left ventricular aneurysms. Aneurysm cavity is exposed and debridement is performed. For plastics, xenopericardium plate 2×5 cm is used, wherein the xenopericardium plate is ovoid. During implantation, the plate is placed with its smooth surface in the left ventricular cavity, and its rough surface – to the wall of the aneurysm and fixed along the edge of the cicatricial zone of the interventricular septum, the anterior wall of the left ventricle with a transition to the apex of the left ventricle with a blanket suture with a monofilament polypropylene suture 5-0. Then two additional blanket sutures with monofilament polypropylene suture 5-0 fix the central part of the patch to the underlying scar tissues. Further, to create a conical shape of the left ventricle, Z-shaped plating sutures are formed in the area of the left ventricular apex with an additional monofilament polypropylene suture 3-0.
EFFECT: method enables reducing the number of postoperative complications in the form of progression of chronic heart failure, LV remodelling, as well as development of thrombotic complications.
1 cl, 10 dwg, 1 ex
| Title | Year | Author | Number | 
|---|---|---|---|
| ENDOVENTRICULAR PATCH PLASTICS IN CASE OF LEFT VENTRICULAR ANEURYSM | 2015 | 
 | RU2613675C1 | 
| METHOD FOR ELIMINATING ADDITIONAL CAVITY OF LEFT VENTRICLE DURING ITS RECONSTRUCTION | 2021 | 
 | RU2770982C1 | 
| 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 | 
| CREATION OF A NEOAPEX AT PLASTY OF A LEFT VENTRICLE OF HEART | 2019 | 
 | RU2715443C1 | 
| METHOD FOR CLOSING POSTINFARCTION INTER-VENTRICULAR DEFECT AT SIMULTANEOUS REMOVAL OF CARDIAC ANEURYSM | 2003 | 
 | RU2266714C2 | 
| METHOD FOR PREVENTING AND/OR TREATING SECONDARY MITRAL REGURGITATION IN PATIENTS WITH CHRONIC HEART FAILURE AND LEFT VENTRICULAR DILATATION | 2024 | 
 | RU2840590C1 | 
| 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 FOR DETERMINING LEFT VENTRICLE POST-INFARCTION ANEURYSM RESECTION AREA | 2000 | 
 | RU2204947C2 | 
| METHOD OF USING 3D MODEL OF LEFT VENTRICULAR CAVITY (LV) | 2014 | 
 | RU2580218C2 | 
Authors
Dates
2025-01-14—Published
2024-02-29—Filed