Minimally invasive approach in staged surgical treatment of tricuspid valve atresia
Abstract
Tricuspid valve atresia (TVA) is a congenital critical heart defect characterized by a lack of communication between the right atrium and the right ventricle. The classic approach at the first stage of surgical treatment is aimed at maintaining pulmonary blood flow and consists of applying a systemic-pulmonary anastomosis or shunt. As an alternative surgical approach, it is possible to use the patent ductus arteriosus (PDA) stenting technique. The minimally invasive procedure is low-traumatic and ensures adequate pulmonary blood flow. The article presents the experience of PDA stenting for tricuspid atresia in newborns. Good immediate and long-term results were obtained, staged surgical treatment was performed, consisting of a complete cava-pulmonary anastomosis. The authors consider stenting of a PDA to be an effective and safe method of surgical treatment, since this method of treatment does not provoke additional risks during subsequent surgery, and can be used in providing emergency care to newborns with critical congenital heart defects.
About the Authors
S. A. Kovalev
Budgetary Institution of Health in the VR Voronezh Regional Clinical Hospital No. 1; Federal State Budgetary Educational Institution of VR N. N.N. Burdenko Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Kovalev Sergey Alekseevich - MD, professor, Head of Cardiosurgical Department No. 2; Head of the Department of Cardiovascular Surgery
S. E. Bykov
Budgetary Institution of Health in the VR Voronezh Regional Clinical Hospital No. 1; Federal State Budgetary Educational Institution of VR N. N.N. Burdenko Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Bykov Sergey Eduardovich - cardiovascular surgeon, cardiosurgery department No. 1; assistant of the Department of Cardiovascular Surgery
Voronezh, Moskovsky prospect, 151, Voronezh
Tel: +7 (4732) 57 97 26
D. Y. Gryaznov
Budgetary Institution of Health in the VR Voronezh Regional Clinical Hospital No. 1
Russian Federation
Russian Federation
Gryaznov Denis Yuryevich - cardiovascular surgeon, cardiac surgery department No. 1
E. I. Korosan
Budgetary Institution of Health in the VR Voronezh Regional Clinical Hospital No. 1
Russian Federation
Russian Federation
Korosan Elena Ivanovna - Candidate of Medical Sciences, paediatric cardiologist, cardiac surgery department No. 1
I. S. Timoshin
Budgetary Institution of Health in the VR Voronezh Regional Clinical Hospital No. 1
Russian Federation
Russian Federation
Timoshin Ivan Semyonovich - endovascular surgeon, Department of X-ray surgical methods of diagnostics and treatment
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Review
For citations:
Kovalev S.A., Bykov S.E., Gryaznov D.Y., Korosan E.I., Timoshin I.S. Minimally invasive approach in staged surgical treatment of tricuspid valve atresia. Minimally Invasive Cardiovascular Surgery. 2024;3(1):52-56. (In Russ.)
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