FEATURES OF DEBRANCHING TECHNIQUE FOR AORTIC DISSECTIONS AND ANEURYSMS IN THORATIC AND THORACO-ABDOMINAL AORTAS
https://doi.org/10.21518/2307-1109-2019-1-128-137
Abstract
This article describes a hybrid surgical technique for high-risk patients with thoraco-abdominal aortic dissections and aneurysms. The technical aspects of the first stage of surgical treatment - visceral and brachiocephalic debranching are described in detail. 17 surgical interventions for chronic dissection and aneurysm in the thoracic and thoracoabdominal aortas were performed at the Vishnevsky National Medical Research Center of Surgery of Ministry of Health of the Russian Federation in the period from 2014 to 2019. In two cases, we observed postoperative pancreatitis after surgical treatment of the abdominal aorta branches, which we managed using conservative therapy. After open surgery, all patients were discharged in a satisfactory condition. The selected technique made it possible to prepare patients for the following stage of treatment - endografting of the aorta - without developing serious complications.
About the Authors
A. E. Zotikov
Vishnevsky National Medical Research Center of Surgery, Federal State Budgetary Institution of the Ministry of Health
Russian Federation
Russian Federation
Dr. of Sci. (Med.), Professor, Leading Researcher, Surgeon of the Vascular Surgery Department
Tel.: +7 (499) 236-72-90
117997, Russia, Moscow, Bolshaya Serpukhovskaya Str., 27
D. I. Maryan
Vishnevsky National Medical Research Center of Surgery, Federal State Budgetary Institution of the Ministry of Health
Russian Federation
Russian Federation
Cardiovascular Surgeon, a postgraduate student of Vascular Surgery Department
Tel.: +7 (499) 236-72-90
117997, Russia, Moscow, Bolshaya Serpukhovskaya Str., 27
S. S. Ilyin
Vishnevsky National Medical Research Center of Surgery, Federal State Budgetary Institution of the Ministry of Health
Russian Federation
Russian Federation
Cardiovascular Surgeon, a postgraduate student of Vascular Surgery Department Surgeon
Tel.: +7 (499) 236-72-90
117997, Russia, Moscow, Bolshaya Serpukhovskaya Str., 27
V. A. Kulbak
Vishnevsky National Medical Research Center of Surgery, Federal State Budgetary Institution of the Ministry of Health
Russian Federation
Russian Federation
Cand. of Sci. (Med.), Researcher, Surgeon of Vascular Surgery Department
Tel.: +7 (499) 236-72-90
117997, Russia, Moscow, Bolshaya Serpukhovskaya Str., 27
A. V. Pokrovsky
Vishnevsky National Medical Research Center of Surgery, Federal State Budgetary Institution of the Ministry of Health
Russian Federation
Russian Federation
Academician of RAS, Dr. of Sci. (Med.), Professor, Head of Vascular Surgery Department
Tel.: +7 (499) 236-72-90
117997, Russia, Moscow, Bolshaya Serpukhovskaya Str., 27
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Review
For citations:
Zotikov A.E., Maryan D.I., Ilyin S.S., Kulbak V.A., Pokrovsky A.V. FEATURES OF DEBRANCHING TECHNIQUE FOR AORTIC DISSECTIONS AND ANEURYSMS IN THORATIC AND THORACO-ABDOMINAL AORTAS. Aterotromboz = Atherothrombosis. 2019;(1):128-137. (In Russ.) https://doi.org/10.21518/2307-1109-2019-1-128-137
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