Publications by authors named "Kostava V"

Blood flow in heart and main vessels is a self-organizing eddy flow described by Kiknadze-Krasnov's non-stationary hydrodynamic equations. Their exact solutions are applicable to simulation of blood circulation in normal and pathological conditions, quantitative evaluation of efficiency of surgical treatment of cardiovascular diseases, and designing implantable devices for cardiovascular surgery to support physiological blood flow structure. An essentially new all-flow three-leaflet CorBit artificial heart valve from pyrolyitic carbon has been proposed to maintain physiological blood flow with minimal regurgitation and transvalvular pressure gradient.

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Bakulev Scientific Center for Cardiovascular Surgery resumed research into cryopreservation and creation of valve bank in 1990. This technology allowed preparation of valve allo-grafts with preserved cell reproductive capacity for clinical use. A new technology, allowing reduction of calcinosis in the graft's aortic wall, was developed and experimentally tested in 2003.

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Data on clinical appliance of domestically produced two-component gelatin-resorcin glue "Biokley-LAB" in difficult surgeries on the ascending aorta and aortal valve with artificial circulation demonstrate that this glue is good prophylactic haemostatic remedy which reduces risk of postoperative bleedings.

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The paper gives the results of experimental studies of the elastic-strength and functional characteristics of xenotissue samples (the pericardium of the calf, pig and Glisson's capsule) stabilized with glutaric aldehyde and polyepoxy compounds. The paper discusses various treatments of biological materials (including Glisson's capsule) anticalcified with additives (sodium dodecyl sulfate, complexes of copper and zinc) and shows that their use improves proteolytic and calcinotic resistance without deteriorating the mechanical parameters of xenotissues. Comparative analysis of the physical-mechanic and functional characteristics of xenotissues treated in different ways allows one to make anticalcifying treatment of biological tissues with copper and zinc complexes physical-mechanic and functional characteristics of xenotissues (Glisson's capsule) for clinical application.

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The effect of droperidol (3.3 x 10(-6) M) on the functional capacities of the isolated heart has been studied. The drug inhibited myocardial contractility.

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Using a model of the isolated beating rat heart, the authors compared the protective effect of St. Thomas Hospital cardioplegic solution enriched with glucose and mannitol (StTH-M) and Bretschneider solution (HTK-B). Results showed that, during 120-minute global ischaemia in cardioplegia, StTH-M was able to maintain levels of high-energy phosphates comparable with those found in a group of hearts perfused with HTK-B at 20 degrees C only when the temperature had been decreased to 12-15 degrees C.

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Our studies have revealed a prognostically poor course in postinfarction angina pectoris patients on conservative medicamentous treatment. The mortality rate within the first year of this syndrome onset was 19.8 per cent among conservatively treated patients.

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It is shown that potassium ion yield from mitochondria observed under low pH of the incubation medium and at the addition of n-(N,N-di-2-Chloridethyl)aminophenylacidic acid and low concentrations of 2,4-dinitrophenol results from the formation of non-electrogenic (nigericyn-like) carrier. The data are obtained which show that under experimental conditions a weak electrogenic transport of ions is observed along with non-electrogenic ion transport in the membranes.

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The influence of hyperbaric oxygenation (HBO) on the immune response in mice, immunized intraperitoneally with sheep red blood cells, was studied. HBO was shown to reduce hemagglutinin and hemolysin titres in peripheral blood as well as to decrease the amount of antibody-forming cells in the spleen. The most pronounced immunodepressant HBO effect is seen when hyperbaric oxygenation is carried out under toxic conditions before immunization of the animals with low antigen doses.

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The mechanism of induction of potassium permeability for mitochondrial membranes under special conditions was under study. Conditions were such as: 1--incubation of mitochondria in medium with low meaning of pH (6,0--6,5), 2--incubation in preseace of electrophylic agent--p-(N,N-di-2-chloroethyl) aminophenylacetic acid, which is hydrolized to HCl and 3-lipidsoluble acid, 2,4-dinitrophenol. It is shown that the named mechanism in any case requires the oxidation of lipids of mitochondrial membranes.

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