Case report

DOI: http://doi.org/10.31928/2305-3127-2020.4.2631

A case of simultaneous surgery for aortic and mitral insufficiency, and gastric adenocarcinoma

B.М. Todurov 1, 2, E.M. Shepetko 3, М.F. Rotar 1, N.S. Klikunas 1, Z.V.V. Press 1

1 Heart Institute, Ministry of Health of Ukraine, Kyiv, Ukraine
2 Shupyk National Healthcare University of Ukraine, Kyiv, Ukraine
3 Bogomolets National Medical University, Kyiv, Ukraine

Today, the introduction and use of simultaneous surgeries is a significant challenge, despite the fact that quite a large number of patients with combined pathology requires such treatment. This article describes a clinical case of successfully performed one-stage surgical intervention in a patient with aortic and mitral insufficiency and adenocarcinoma of the pylorus. The preoperative examination, scope of surgical intervention, accesses, early postoperative period, and pathologic examination data are described. Our experience with simultaneous surgeries shows that there is a need for standardization of such surgical interventions by creating guidelines and protocols with their further integration into general practice.

Key words: simultaneous surgery, aortic insufficiency, mitral insufficiency, aortic valve replacement, mitral valve plastic, gastric adenocarcinoma, subtotal gastric resection.

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