INVAGINATIVE METHOD OF ANASTOMOSIS FORMATION UNDER REPLACEMENT OF THE ASCENDING AORTA IN PATIENTS WITH ACUTE AORTIC DISSECTION TYPE A
Abstract
INTRODUCTION The traditional “sandwich” technology of anastomosis between the dissected aortic wall and synthetic vascular prosthesis in the surgical treatment of acute aortic dissection type A does not fully meet the idea of an urgent surgical treatment of patients with this disease. We evaluated the experience of the new “invaginated” technique of anastomoses formation.
MATERIAL AND METHODS We compared the results of surgical treatment of patients with the “sandwich” and “invaginated” technique of anastomotic formation. The parameters of bleeding, cardiopulmonary bypass time, mortality, as well as the state of the false lumen in the early and late postoperative periods have been studied.
CONCLUSION Invaginative formation of anastomosis between the aorta and vascular prosthesis provides good immediate hemostatic effect and creates the best conditions for fi lling the false lumen in the treatment of acute aortic dissection type A.
About the Authors
V. V. Sokolov
N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow, Russian Federation
Russian Federation
Russian Federation
A. V. Redkoborodyj
N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow, Russian Federation
Russian Federation
Russian Federation
N. V. Rubtsov
N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow, Russian Federation
Russian Federation
Russian Federation
E. V. Kovalyova
N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow, Russian Federation
Russian Federation
Russian Federation
A. V. Gureyev
N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow, Russian Federation
Russian Federation
Russian Federation
A. I. Kovalyov
N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow, Russian Federation
Russian Federation
Russian Federation
References
1. 1. Chavanon O., Costache V., Bach V., et al. Preoperative predictive factors for mortality in acute type A aortic dissection: an institutional report on 217 consecutives cases. Interact Cardiovasc Thorac Surg. 2007; 6 (1): 43–46.
2. Göbölös L., Philipp A., Foltan M., Wiebe K. Surgical management for Stanford type A aortic dissection. Interac Cardiovasc Thorac Surg. 2008; 7 (6): 1107–1109.
3. Kim S.W., Sung K., Lee Y.T., et al. Aortic false lumen patency following the adventitial inversion technique for acute DeBakey Type I Aortic Dissection. J Card Surg. 2010; 25 (2): 548–553.
4. Tanaka K., Morioka K., Li W., et al. Adventitial inversion technique without the aid of biologic glue or Teflon buttres for acute type A aortic dissection. Eur J Cardiothoracic Surg. 2005; 28 (6): 864–869.
5. Floten H.S., Ravichandran P.S., Furnary A.P., et al. Adventitial inversion technique in repair of aortic dissection. Ann Thorac Surg. 1995; 59 (3): 771–772.
6. Sokolov V.V., Redkoborodyy A.V., Rubtsov N.V. Invaginatsionnaya metodika formirovaniya anastomozov pri protezirovanii voskhodyashchey aorty u bol’nykh s ostrym rassloeniem aorty [Invaginative method of forming anastomosis with prosthetic ascending aorta in patients with acute aortic dissection]. Zdorov’e stolitsy–2014: tez. dokl. XIII Mosk. Assamblei [Health capital–2014: abstracts of the XIII Moscow Assembly]. Moscow, November 20–21 2014. Moscow, 2014. 123–124. (In Russian).
7. Rylski B., Siepe M., Blanke Ph., et al. Adventitial inversion with graft telescopic insertion for distal anastomosis in acute type A aortic dissection. Ann Thorac Cardiovasc Surg. 2012; 18 (3): 278–280.
8. Raanani E., Latter D.A., Lee E.E., et al. Use of “BioGlue” in Aortic Surgical Repair. Ann Thorac Surg. 2001; 72 (2): 638–640.
Review
For citations:
Sokolov V.V., Redkoborodyj A.V., Rubtsov N.V., Kovalyova E.V., Gureyev A.V., Kovalyov A.I. INVAGINATIVE METHOD OF ANASTOMOSIS FORMATION UNDER REPLACEMENT OF THE ASCENDING AORTA IN PATIENTS WITH ACUTE AORTIC DISSECTION TYPE A. Russian Sklifosovsky Journal "Emergency Medical Care". 2016;(1):10-14.
Views:
796
Email this article 