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

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