Hybrid Prosthetic Repair of the Thoracic Aorta and Brachiocephalic Arteries
S. Y. Boldyrev,
P. K. Tyutyunikov,
S. B. Abidzakh,
T. V. Litsycova,
E. A. Ovchinnikov,
E. S. Aksenenko,
K. O. Barbukhatty,
T. A. Korsakova https://doi.org/10.23934/2223-9022-2025-14-4-837-841
Abstract
This article presents a clinical case of successful surgical treatment of a patient with severe aortic valve regurgitation secondary to dissection of the ascending aorta, aortic arch and its branches, and descending thoracic aorta (DeBakey type I). This paper demonstrates a successful application of modern hybrid surgical strategies, including the use of a preformed neoconduit (a 30 mm POLYTHESE POLYBRANCH vascular graft and a Medtronic No. 27 mechanical graft), an E-Vita Open Plus No. 28 stent graft (Frozen Elephant Trunk), and complete grafting of the left subclavian artery with 8 mm Angiteq linear vascular grafts for the treatment of the patient with extensive aortic disease.
About the Authors
S. Y. Boldyrev
Kuban State Medical University;
Research Institute – Regional Clinical Hospital No. 1 named after prof. S.V. Ochapovsky
Russian Federation
Russian Federation
Sergey Yu. Boldyrev, Doctor of Medical Sciences, Professor, Department of Cardiology and Cardiac Surgery, Kuban State Medical University
Sedina Str. 4, Krasnodar, 350063,
1 Maya Str. 167, Krasnodar, 350086
P. K. Tyutyunikov
Kuban State Medical University
Russian Federation
Russian Federation
Pavel K. Tyutyunikov, Student
Sedina Str. 4, Krasnodar, 350063
S. B. Abidzakh
Research Institute – Regional Clinical Hospital No. 1 named after prof. S.V. Ochapovsky
Russian Federation
Russian Federation
Susanna B. Abidzakh, Cardiovascular Surgeon, Cardiac Surgery Department # 2
1 Maya Str. 167, Krasnodar, 350086
T. V. Litsycova
Kuban State Medical University
Russian Federation
Russian Federation
Tatyana V. Litsycova, Student
Sedina Str. 4, Krasnodar, 350063
E. A. Ovchinnikov
Kuban State Medical University
Russian Federation
Russian Federation
Egor A. Ovchinnikov, Student
Sedina Str. 4, Krasnodar, 350063
E. S. Aksenenko
Kuban State Medical University
Russian Federation
Russian Federation
Ekaterina S. Aksenenko, Student
Sedina Str. 4, Krasnodar, 350063
K. O. Barbukhatty
Kuban State Medical University;
Research Institute – Regional Clinical Hospital No. 1 named after prof. S.V. Ochapovsky
Russian Federation
Russian Federation
Kirill O. Barbukhatty, Professor, Doctor of Medical Sciences, Head, Department of Cardiology and Cardiac Surgery, Kuban State Medical University
Sedina Str. 4, Krasnodar, 350063,
1 Maya Str. 167, Krasnodar, 350086
T. A. Korsakova
Kuban State Medical University
Russian Federation
Russian Federation
Tamila A. Korsakova, Student
Sedina Str. 4, Krasnodar, 350063
References
1. Jormalainen M, Kesävuori R, Raivio P, Vento A, Mustonen C, Honkanen HP, et al. Long-term outcomes after ascending aortic replacement and aortic root replace-ment for type A aortic dissection. Interact Cardiovasc Thorac Surg. 2022;34(3):453–461. PMID: 35188959 https://doi.org/10.1093/icvts/ivab324
2. Mosbahi S, Stak D, Gravestock I, Burgstaller JM, Steurer J, Eckstein F, et al. A systemic review and meta-analysis: Bentall versus David procedure in acute type A aortic dissection. Eur J Cardiothorac Surg. 2019;55(2):201–209. PMID: 30084969 https://doi.org/10.1093/ejcts/ezy266
3. Khaladj N, Shrestha M, Meck S, Peterss S, Kamiya H, Kallenbach K, et al. Hy-pothermic circulatory arrest with selective antegrade cerebral perfusion in ascending aortic and aortic arch surgery: a risk factor analysis for adverse outcome in 501 pa-tients. J Thorac Cardiovasc Surg. 2008;135(4):908–914. PMID: 18374779 https://doi.org/10.1016/j.jtcvs.2007.07.067
4. Bozso SJ, White A, Nagendran J, Moon MC, Chu MWA. Hybrid aortic arch and frozen elephant trunk reconstruction: bridging the gap between conventional and total endovascular arch repair. Expert Rev Cardiovasc Ther. 2018;16(3):209–217. PMID: 29343137 https://doi.org/10.1080/14779072.2018.1429913
5. Yoshitake A, Okamoto K, Yamazaki M, Kimura N, Hirano A, Iida Y, et al. Comparison of aortic arch repair using the endovascular technique, total arch re-placement and staged surgery. Eur J Cardiothorac Surg. 2017;51(6):1142–1148. PMID: 28329146 https://doi.org/10.1093/ejcts/ezx028
Review
For citations:
Boldyrev S.Y., Tyutyunikov P.K., Abidzakh S.B., Litsycova T.V., Ovchinnikov E.A., Aksenenko E.S., Barbukhatty K.O., Korsakova T.A. Hybrid Prosthetic Repair of the Thoracic Aorta and Brachiocephalic Arteries. Russian Sklifosovsky Journal "Emergency Medical Care". 2025;14(4):837-841. (In Russ.) https://doi.org/10.23934/2223-9022-2025-14-4-837-841
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