Significant improvements have been recorded in the diagnosis and treatment of cardiovascular system diseases in parallel with advances in health technology. Thus, survival was increased for many diseases; Important steps have been taken to ensure a better quality of life. But it is an undeniable fact that the incidence of this disease group increases with age. In addition to the atherosclerotic disease that we give the name atherosclerosis, rhythm and valve diseases predominantly over the age of 75, mainly worn by tissues and calcification, are quite common. In this group of patients with degenerative disease, we most commonly encounter aortic valve stenosis and insufficiency and mitral regurgitation. The disease has a certain process of evolution. Some are under close monitoring only with drug therapy, echocardiography, computerized tomography. It is not always easy to make this decision when an advanced disease is detected that requires intervention. A 90-year-old patient is not just about planned treatment; At the same time, the fragility, additional systemic diseases must be taken into consideration. Until the year 2000, unfortunately, many of the patients in this age group are left to fate on the grounds that they can not afford open surgery; Even if operated, were frequently exposed to adverse events such as long intensive care and service admission, reduction in cognitive function, heart attack, stroke, acute renal failure. In the last fifteen years, there has been a lot of work on both surgery and interventions without surgery.


In order to reduce the risks posed by the lid surgeon, it is possible to collect under three headings which can be done. They include alternatives related to the type of transaction to be performed. Valvular surgery emerges as an important treatment option, especially for mitral regurgitation. In this way, instead of wearing a new lid made of foreign material from outside the body, the lid is repaired and the entrance is narrowed with a ring. In this respect, the risk of stroke, such as stroke and life-threatening bleeding events that may be observed even under treatment and the need to use blood thinner is somewhat avoided. Nowadays, with the development of bioprosthetic valve technology, it is now more durable and the performance is placed close to the original cover. We can define the second group of measures as to cut down the gap and, if possible, to carry out the process by preserving the integrity of the chest wall without opening the sternum, that is, the name of faith among the people. Minimally invasive surgery, called treatment, under the armpit, under the collarbone, or only a small part of the faith board is separated by operations and, of course, includes robotic surgery. Experiences about it are increasing and highly successful transactions are being carried out in specialized centers. Finally, we must talk about initiatives to reduce the duration of the surgery. Particularly, it is very important to stop the heartbeat and shorten the cycle in which the circulation pump is activated. For example, with a method called DAVI for aortic stenosis, a new lid can be placed with less stitching through a carrier system before the area of ​​the lid is fully opened.


All of these developments gave quite pleasing results, and they went to great lengths before the helplessness of the treatment. However, the real progress has been in the processes performed without the percutaneous, skin crossing. In these procedures, which are performed with the aid of fluoroscopy, ie x-rays, even smaller catheters and less traumatic materials are being used. In this case, even if a new lid is inserted into the cervical artery vein by entering the patient, it can be said. Some of these procedures can be performed without giving the patient general anesthesia and without having to place the tube for breathing. Especially in the treatment of aortic stenosis in the world and our country has become an experience not to be underestimated. In this process, which we call TAVI, as mentioned before, it is often the case that a small hole in the bottom of the breast,

A new bioprosthesis cover, a balloon or a self-opening system can be used instead of the old one. This method, which is currently being applied in cases of high risk of open surgery, especially in the older age group, is increasing as experience increases and long-term results are published. Surgical treatment is expected to take place.

Source : Medipol Mega Hospital