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METHOD OF SURGICAL CORRECTION OF DEFECTS IN COMBINED mitral and aortic valves ON THE BACKGROUND OF ACTIVE infectious endocarditis

机译:活动性感染性心内膜炎背景下手术纠正二尖瓣和主动脉瓣合并缺损的方法

摘要

Method surgical correction combined mitral and aortic valves amid active infective endocarditis, including mitral and aortic valves, characterized by the fact that in patients with destruction paravalvulyarnyh structures after excision compromised aortic and mitral produce remediation sites of infection, and then proceed to implantation mitral ksenoproteza "PeriKor 'advance specifying the place of projection aortic outflow, the prosthesis implanted ruyut suprannulyarnuyu in position 14-16 of separate U-shaped joints with gaskets ksenoperikarda, the place and vykoli puncture needle is passed through unmodified infectious process fabric, then proceed to the implantation of the aortic bioprosthesis "Kemerovo-AB Composite", while the lower row three continuous welds operate twining round thread joints «Prolene 4/0» through the annulus fibrosus, and vykoli puncture needles pass through unmodified tissues the aortic outflow, the upper row of stitches - twining round three continuous seam thread «Prolene 4/0» from the center INUSA to tops commissures, and the filament discharged outside strips knotted on the turning off of the blood flow cavity abscesses and foci of tissue destruction aortic root walls bioprosthesis.
机译:方法手术矫正在活动性感染性心内膜炎(包括二尖瓣和主动脉瓣膜)中合并二尖瓣和主动脉瓣,其特征在于,在切除后瓣膜旁裂状结构受损的患者中,受损的主动脉和二尖瓣会产生感染的修复部位,然后着手植入二尖瓣角蛋白PeriKor'提前指定突出主动脉流出的位置,将假体植入ruyut suprannulyarnuyu并在单独的U形关节的位置14-16处植入垫片ksenoperikarda,该位置和vykoli穿刺针穿过未修饰的感染过程织物,然后进行植入主动脉生物假体“ Kemerovo-AB复合材料”的下排,而下排的三个连续焊缝则通过纤维环缠绕成对的圆形螺纹接头«Prolene 4/0»,而vykoli穿刺针穿过未修饰的组织进入主动脉流出,上排针迹-缠绕三圈连续缝thr从中心INUSA到达顶部的连合«Prolene 4/0»,并且排出的外部细丝在血流腔脓肿和组织破坏主动脉根壁生物假体的关闭处打结。

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