Modified Aortic Valve Reimplantation Using the “Kuban Cuff” Technique, Combined with Aortic Arch Replacement, Brachiocephalic Trunk and Left Common Carotid Artery Reconstruction for Acute DeBakey Type I Aortic Dissection

Acute DeBakey type I aortic dissection is a life-threatening condition requiring immediate surgical intervention. This article presents a clinical case of successful treatment of a patient with acute dissection of the ascending aorta and aortic arch involving the brachiocephalic trunk and left common carotid artery. We performed modified reimplantation of the aortic valve (AV) using the Kuban Cuff technique in combination with arch replacement and reconstruction of its branches.

Patient, a 63-year-old male, was admitted with complaints of severe retrosternal pain and hypertension. The diagnosis of acute aortic dissection was confirmed by echocardiography and computed tomography. Surgical treatment included AV reimplantation using an Intergard Woven No. 32 vascular graft, replacement of the aortic arch, the brachiocephalic trunk, and the left common carotid artery.

The postoperative period was uneventful, with the patient successfully extubated and sinus rhythm restored with medication. On the 5th postoperative day, the patient was transferred to a specialized department and discharged in satisfactory condition on the 12th day.

The Kuban Cuff technique allowed for the effective preservation of the native aortic valve, reducing the risk of postoperative valve insufficiency and improving long-term outcomes. However, performing this surgery requires a high level of surgical expertise and careful patient selection.

Thus, the proposed AV reimplantation technique combined with aortic arch replacement demonstrates its effectiveness and may be a promising approach in the surgical treatment for acute DeBakey type I aortic dissection.

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