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HEART VALVE REPLACEMENT IN WOMEN OF FERTILE AGE: MODERN SOLUTIONS TO IMPROVE PERIPARTAL AND CARDIOVASCULAR PROGNOSIS

Dzhanibekova Sherifat Salikhovna  (Candidate of Medical Sciences, Assistant of the Department of Obstetrics and Gynecology of St. Petersburg Federal State Budgetary Institution State Pediatric Medical University)

Matevosyan Irina Edikovna  (Candidate of Medical Sciences, Associate Professor of the St. Petersburg Department of the Federal State Budgetary Institution State Pediatric Medical University)

Prokhorovich Tatyana Ivanovna  (Candidate of Medical Sciences, Associate Professor of the St. Petersburg Department of the Federal State Budgetary Institution State Pediatric Medical University)

Konovalova Marina Vladislavovna  (Candidate of Medical Sciences, Associate Professor of the Department of Obstetrics and Gynecology of St. Petersburg Federal State Budgetary Institution State Pediatric Medical University)

Vasiliev Vladimir Vladimirovich  (Candidate of Medical Sciences Federal State Budgetary Educational Institution of Higher Education St. Petersburg State Pediatric Medical University and St. Petersburg State Budgetary Healthcare Institution «City Hospital 9» )

The article discusses modern solutions for improving peripartum and cardiovascular prognosis during heart valve replacement in women of fertile age. It is noted that currently there are several alternatives to standard bioprosthetic heart valves in women of fertile age. It has been revealed that on the aortic valve these are neocuspidization operations, Ross operations, prosthetics with a human allograft, while atrioventricular heart valves are usually reconstructed or replaced with a human mitral allograft taken from a corpse. It was noted that despite the complexity of the above operations, it makes sense to perform them, since they best restore the anatomy of the affected valve, are capable of self-renewal, and have a high freedom from prosthesis-dependent complications. It was concluded that it is necessary to establish connections between obstetricians and gynecologists with federal cardiac surgery centers to conduct consultations and provide the population of the Russian Federation with high-tech heart interventions that remove restrictions on pregnancy and childbirth.

Keywords:prosthetics, heart valve, fertile age, pregnancy, complications

 

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Citation link:
Dzhanibekova S. S., Matevosyan I. E., Prokhorovich T. I., Konovalova M. V., Vasiliev V. V. HEART VALVE REPLACEMENT IN WOMEN OF FERTILE AGE: MODERN SOLUTIONS TO IMPROVE PERIPARTAL AND CARDIOVASCULAR PROGNOSIS // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2024. -№02. -С. 147-151 DOI 10.37882/2223-2966.2024.02.16
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