[Comparative assessment of in-hospital outcomes of transcatheter implantation and «open» prosthetic repair of the aortic valve].

The authors carried out comparative assessment of in-hospital outcomes of transcatheter aortic valve implantation (TAVI) and «open» prosthetic repair of the aortic valve. The main criterion for inclusion into the study was the presence of indications for surgical correction of an isolated defect of the aortic valve (AV). Group One comprised 11 patients subjected to TAVI and Group Two (comparison group) consisted of 23 patients undergoing «open» prosthetic repair of the AV. There were no statistically significant between-group differences by the main parameters evaluated. In the Comparison Group, there was one lethal outcome; one patient developed significant haemorrhage requiring emergency mediastinotomy; more frequently revealed were pneumonia and hydrothorax, as well as wound complications. Analyzing the obtained results demonstrated comparable in-hospital outcomes of TAVI and «open» prosthetic repair of the AV in patients at intermediate surgical risk, despite older age of patients in the TAVI group.