Our experience of aortic valve replacement

Over 50 years of aortic valve replacement is the most effective method of surgical treatment, with low rates of mortality and morbility, which allows to increase the length and quality of life of patients. From April 2009 to September 2014 in our center were performed 353 isolated aortic valve replacement, of which 194 (55%) bioprosthesis (group 1) and 159 (45%) patients using mechanical prosthesis (group 2). In the first group in the early postoperative period following complications occurred: thrombosis of the prosthesis – 1 (0.5%), cardiac tamponade – 1 (0.5%), hemorrhagic stroke – 1 (0.5%). Mortality was 2 (1%). In the second group: acute renal failure – 1 (0.6%), cardiac tamponade – 4 (2.5%), mesenteric thrombosis – 1 (0.6%), coronary artery spasm – 1 (0.6%), stroke – 3 (1.9%), multiple organ failure – 1 (0.6%), mortality – 4 (2.5%). Our study showed the effectiveness of surgical treatment of aortic valve disease. In patients with mechanical and biological prosthetic results are comparable. A number of complications with mechanical prosthetic arisen due to inadequate warfarin INR and lack of control. Selection of aortic valve prosthesis difficult task. Must be as accessible as possible to inform patients about all the advantages and disadvantages of different types of prostheses and together make a selection.