Мировой опыт применения неокуспидизации аортального клапана

Неокуспидизация аортального клапана (раздельное протезирование каждой его створки) приобрела широкую известность после разработки оригинальной технологии и специального набора инструментов японским хирургом Shigeyuki Ozaki. Однако существуют и другие методики неокуспидизации. Множеством медицинских центров накоплен значительный опыт применения неокуспидизации аортального клапана при широком спектре показаний: стенозе и недостаточности, инфекционном эндокардите, врождённом пороке аортального клапана. Особенно полезной методика является у больных с узким фиброзным кольцом аортального клапана. Методика применима у пациентов пожилого, старческого возраста, молодых больных и даже у детей. Морфология аортального клапана может быть любой.

Непосредственные результаты демонстрируют лучшие гемодинамические показатели по сравнению с механическими и биологическими протезами. В среднесрочном периоде наблюдения отмечается низкая смертность, низкая частота структурной дегенерации неоклапана, рецидива или вновь возникшей аортальной регургитации, а также низкая частота реопераций.

Накопленный опыт даёт возможность рассматривать неокуспидизацию в качестве альтернативы протезированию аортального клапана биологическим или механическим протезом. Однако отсутствие достаточных отдалённых результатов не позволяют пока рекомендовать технологию в качестве метода выбора.

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