Technologies of diagnosis and treatment

DOI: http://doi.org/10.31928/2305-3127-2018.4.3035 

Intermediate results of ultrasonic aortic valve decalcification

B.M. Todurov ^{1, 2}, А.V. Markovets ¹, V.O. Shevchenko ¹, V.V. Pogrebnyak ¹, V.G. Kolesnikov ², O.M. Fursa ¹, D.V. Seara ¹, M.V. Khartanovich ¹, V.B. Demyanchuk ^{1, 2}

¹ Heart Institute, Ministry of Health of Ukraine, Kyiv, Ukraine
² Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine 

Despite the fact that aortic valve replacement surgery is well developed and accompanied by high efficiency, it is still far from ideal and associated with a large number of complications. In this relation, the methods of surgical treatment based on valve-preserving philosophy surpass traditional prosthetics, since they may decrease risks at early and long-term periods after the operation, which is especially important in elderly and senile patients. The manuscript presents the results of a study on application of the ultrasonic decalcification in 70 patients with calcified aortic valve stenosis. After surgery, up to 13 months, a significant decrease in the systolic pressure gradient on the valve and an increase in the area of ​​the effective valve opening were observed. This shows the effectiveness of the ultrasonic decalcification in the elderly patient population.

Key words: aortic valve stenosis, calcinosis, ultrasonic decalcification.