The pulmonary artery denervation in high pulmonary hypertension on the AF treatment effectiveness

The occurrence of mitral valve defects, whether stenosis or insufficiency, reaches 8% of the general population and causes increased pressure in the left atrium cavity, which expands over time. In addition, these patients have morphological and electrical changes in the myocardial wall with sections of slow and fast conduction resulting in the formation of abnormal re-entry circles. Pulmonary hypertension in patients with heart valve dysfunction reduces the efficacy of surgical valve repair, increases the time for rehabilitation, slows the heart chamber remodeling process, causes rhythm disturbances and reduces the efficacy of surgical treatment for atrial fibrillation. Despite the data presented above, the current medical practice does not have a generally accepted protocol for surgical treatment in patients with mitral valve dysfunction complicated by atrial fibrillation and pulmonary hypertension.
«The effect of pulmonary artery denervation in high pulmonary hypertension on the effectiveness of surgical treatment of atrial fibrillation»
Nikolai Trofimov - MD., associate professor of the Department of surgical diseases and general surgery,
I.N. Ulyanov Chuvash State University, professor of the Department of surgery, Institute for Advanced Medical Education of the Ministry of Healthcare of the Chuvash Republic, deputy chief doctor for surgery of the Republican Cardiological Dispensary of the Ministry of Healthcare of the Chuvash Republic.
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