P\u0159ed rokem kv\u016fli \u0161patn\u00e9 srde\u010dn\u00ed chlopni zkolaboval. Dnes m\u00e1 69let\u00fd \u00daste\u010dan novou, a to d\u00edky unik\u00e1tn\u00edmu z\u00e1kroku, kter\u00fd se poda\u0159il prov\u00e9st l\u00e9ka\u0159\u016fm z Kardiocentra v \u00fasteck\u00e9 nemocnici Krajsk\u00e9 zdravotn\u00ed.<\/p>\n\n\n\n
\u201eP\u0159ed rokem jsem zkolaboval na n\u00e1kupu. L\u00e9ka\u0159i zjistili, \u017ee m\u00e1m \u0161patnou chlope\u0148. Cel\u00fd rok jsem trp\u011bl p\u0159edev\u0161\u00edm d\u00fdchac\u00edmi pot\u00ed\u017eemi, bolelo m\u011b na hrudi. Musel jsem se ka\u017ed\u00fdch sto metr\u016f zastavit,\u201c popsal sv\u00e9 pot\u00ed\u017ee Lubom\u00edr \u010cas\u00e1r, jeden ze dvou pacient\u016f, kter\u00fd proto s operac\u00ed srdce ani chv\u00edli nev\u00e1hal.<\/p>\n\n\n\n
Klasick\u00e1 operace srdce s v\u00fdznamnou nedomykavost\u00ed mitr\u00e1ln\u00ed chlopn\u011b byla u obou pacient\u016f pro extr\u00e9mn\u00ed riziko nemo\u017en\u00e1. L\u00e9ka\u0159\u016fm se poda\u0159ilo prov\u00e9st unik\u00e1tn\u00ed a mnohem \u0161etrn\u011bj\u0161\u00ed z\u00e1krok katetriza\u010dn\u00edm zp\u016fsobem, tedy p\u0159es k\u016f\u017ei pomoc\u00ed katetr\u016f. D\u00edky n\u011bmu dok\u00e1zali nahradit posti\u017eenou srde\u010dn\u00ed chlope\u0148 za novou. \u201ePodobn\u00e1 onemocn\u011bn\u00ed se dosud l\u00e9\u010dila pouze chirurgickou n\u00e1hradou chlopn\u011b, tedy roz\u0159\u00edznut\u00edm cel\u00e9ho hrudn\u00edku a v\u0161it\u00edm nov\u00e9 chlopn\u011b, nebo u n\u011bkter\u00fdch vhodn\u00fdch nemocn\u00fdch pomoc\u00ed perkut\u00e1nn\u00edho zaveden\u00ed speci\u00e1ln\u00edch kol\u00ed\u010dk\u016f \u2013 MitraClip\u016f,\u201c uvedl Pavel \u010cervinka, vedouc\u00ed Kardiocentra a p\u0159ednosta Kardiologick\u00e9 kliniky Fakulty zdravotnick\u00fdch studi\u00ed Univerzity J. E. Purkyn\u011b v \u00dast\u00ed nad Labem a Krajsk\u00e9 zdravotn\u00ed \u2013 Masarykovy nemocnice v \u00dast\u00ed nad Labem.<\/p>\n\n\n\n
L\u00e9ka\u0159i v obou p\u0159\u00edpadech nahradili mitr\u00e1ln\u00ed chlope\u0148 novou, samorozta\u017eitelnou chlopn\u00ed zavedenou katetriza\u010dn\u00edm zp\u016fsobem p\u0159es hrot srde\u010dn\u00ed. Kostra chlopn\u011b je z nitinolu, vlastn\u00ed chlope\u0148 m\u00e1 t\u0159i c\u00edpy a je vyrobena z prase\u010d\u00edho perikardu. Aby nedo\u0161lo k jej\u00edmu uvoln\u011bn\u00ed, je fixov\u00e1na k srde\u010dn\u00edmu hrotu speci\u00e1ln\u00ed z\u00e1tkou.<\/p>\n\n\n\n
V\u00fdkon se naz\u00fdv\u00e1 Transkatetrov\u00e1 n\u00e1hrada mitr\u00e1ln\u00ed chlopn\u011b (TMVR). \u201eJedn\u00e1 se o logisticky n\u00e1ro\u010dn\u00fd, multidisciplin\u00e1rn\u00ed v\u00fdkon, na kter\u00e9m participovalo cel\u00e9 Kardiocentrum \u2013 kardiochirurgie, kardiologie i kardioanesteziologie. V\u00fdkon prov\u00e1d\u00ed celosv\u011btov\u011b i v \u010cesk\u00e9 republice pouze ta nejvysp\u011blej\u0161\u00ed kardiocentra, kter\u00e1 zvl\u00e1dla v\u0161echny ostatn\u00ed n\u00e1ro\u010dn\u00e9 perkut\u00e1nn\u00ed v\u00fdkony pro chlopenn\u00ed srde\u010dn\u00ed vady. Zvl\u00e1dnut\u00edm t\u00e9to techniky potvrdilo \u00fasteck\u00e9 Kardiocentrum, \u017ee pat\u0159\u00ed mezi \u0161pi\u010dkov\u00e1 pracovi\u0161t\u011b nejen v \u010cR,\u201c doplnil profesor \u010cervinka.<\/p>\n\n\n\n
\u00daste\u010danovi Lubom\u00edru \u010cas\u00e1rovi u\u017e je dnes l\u00e9pe. „T\u011b\u0161\u00edm se, a\u017e budu moct doma norm\u00e1ln\u011b fungovat, v\u011b\u0159\u00edm, \u017ee to bude dobr\u00e9. R\u00e1d bych pod\u011bkoval l\u00e9ka\u0159\u016fm i ve\u0161ker\u00e9mu person\u00e1lu nemocnice, kter\u00fd se tu o m\u011b bezvadn\u011b staral,\u201c dodal \u00daste\u010dan necel\u00fd t\u00fdden po operaci.<\/p>\n\n\n\n
Jitka Vep\u0159ovsk\u00e1<\/p>\n\n\n\n
\u00dasteck\u00fd den\u00edk<\/p>\n\n\n\n
https:\/\/ustecky.denik.cz\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":" P\u0159ed rokem kv\u016fli \u0161patn\u00e9 srde\u010dn\u00ed chlopni zkolaboval. Dnes m\u00e1 69let\u00fd \u00daste\u010dan novou, a to d\u00edky unik\u00e1tn\u00edmu z\u00e1kroku, kter\u00fd se poda\u0159il prov\u00e9st l\u00e9ka\u0159\u016fm z Kardiocentra v […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14511,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-37287","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/37287","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=37287"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/37287\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14511"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=37287"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=37287"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=37287"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}