Abstract
Introduction. Now promptly the diagnostic methods, allowing to concretize indications to radical or palliative intervention of congenital
heart diseases at children of the first year of life develop. Our hospital has extensive practical experience surgical treatment of
children about one year with congenital heart diseases, being accompanied the strengthened blood-groove of a small circle of blood
circulation that gives the chance to track tendencies in a question of a choice of surgical tactics at such patients and to analyse results
of their treatment.
Material and methods. The retrospective analysis of results operation of narrowing of the pulmonary aretry (PA) from 2001 for 2012.
Results. The early postoperative period proceeded with complications at 41 (21%) patients from 195 in group 1 and at 11 (10.7%)
children from 102 in the group 2. The hospital lethality in group 1 made 19.5%, in group 2 – 7.8%. In group 1 139 (71.3%) of the
patient on the average in 6.8±1.6 months and in the group 2 76 (74.5%) of the patient on the average in 6.6±1.3 months were hospitalized
on the second stage of surgical treatment.
Conclusion. Current trends in use of operation of narrowing of PA show more its frequent application as 1 stage, at children with the
only ventricle, the atresia of the tricuspid valve, multiple defects of an interventricular partition (on type of “Switzerland cheese”) with
the strengthened blood-groove of a small circle of blood circulation, and also in those cases when congenital heart diseases with pulmonary
hypertension are accompanied by heavy combined extra cardiac pathology.
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