Gastroplication Valvular

Valvular gastropplication is a surgical method of improving the functioning of the heart valve apparatus in order to prevent heart valve disease (aortic, mitral or tricuspid type). This method is applicable to patients suffering from open aortic defect, acquired aortic stenosis or congenital heart disease and is an alternative to “biological valve replacement”. Diseases of the aortic valve tract are very common pathologies. In patients, they can manifest themselves in the form of auscultatory changes (the presence of weakening and hard noise, a mixed component - systolic and diastolic, attributed to the atrioventricular region, or unrelated noise), signs of valvulopathy during ultrasound examination of the heart (limitation of the diastolic function of the left ventricle, the presence of intraventricular disturbances). conduction (blockade of the anterior branch of the His bundle, block of the right bundle branch)).

In the presence of severe cardiomegaly (dilated left atrium, ventricles of the heart), arrhythmias (for example, atrial fibrillation) may be present as a consequence of destructive processes in the area of ​​endocardial fibrosis.

Assessing the degree of valvular damage is difficult due to the functional and organic insufficiency of the valve structure. Usually this is a combined pathology of the valvular, coronary, myocardial, and ventricular parts of the myocardium. Accordingly, even with successful valve closure, the patient’s hemodynamic status is not compensated. In this regard, cardiac decompensation may occur after previously successful surgical treatment of valve disease. The anatomical features of the structure of the valve formation are also of great importance - for example, some people have the so-called accessory chord (a small additional tendon fiber), which can significantly restrict blood flow and lead to hemodynamic problems.