Strategy of complete preservation of the subvalvular structures in the mitral valve replacement

Complete preservation of leaflets for mitral valve replacement to maintain geometry and the function of left ventricle in the near and distant period is necessary. The aim of study was to analyze these procedures. Bileaflet preservation of the anatomical architectonics of the left ventricle in combination with the surgical reduction of the enlarged left atrium will allow to optimize the postoperative geometry and to improve the remodeling of all the left heart along with improved long-term results of patients with mitral valve replacement

Dissection of descending aorta treated by stent-graft implantation in a patient with Marfan syndrome

This report describes a 32 years old patient with Marfan syndrome and hypertension. David`s procedure was performed to the patient three months before due to dissection of the ascending thoracic aorta. Computer tomography scan showed DeBakey type III dissection of aorta beginning from left subclavian artery with transition to the ostium of the celiac trunk and proximal part of the left common iliac artery. Stent-grafts in the descending thoracic aorta with overlapping of left subclavian artery were implanted to the patient with Marfan syndrome. Patient was discharged and no complications recorded at 6th month follow-up