ВЫБОР ТАКТИКИ ХИРУРГИЧЕСКОГО ЛЕЧЕНИЯ ТРЁХКЛАПАНЫХ ПОРОКОВ СЕРДЦА, ОСЛОЖНЁННЫХ ТРОМБОЗОМ

Article inscribe to the one of the most hard divisions of the cardio surgery – surgery of the, complicated with thrombosis. Authors analyzed results of the surgical treatment, in this class of patients. In last 6 years in the RSCS named by acad. V. Vahidov operated 137 patients with three valve defects of the hearth, in 36 (26,3 %) patients was detected thrombosis of the left auricle. Age of the patients sway from 12 to 74 years ( at mean 36,7 + 9,4). Women 67,4 %, and men 32,6 %. By classification NYHA. functional class III – was at 8,4 %, but IV – at 91,6 %. Analysis demonstrate, that passage of the complication thrombosis of the left auricle in three valve defects of the hearth, considerably aggravate prognosis of the course of disease, compel make planned correction three valve defects of the hearth urgently. In the same time, choosing the tactic of surgical correction, depends from the solidness of thrombosis, morphological and functional changes of the valves, in anamnesis transferred acute cerebro-vascular accident and patient`s status at the time of this hard correction. The adequacy and implementation of the correct sequence of multicomponent three – valve correction with thrombectomy guarantees in the vast majority of cases good near and long-term results of surgical treatment of three valve heart disease.