Possibility of acute ascending aortic dissection treatment with moderate hypothermic circulatory arrest

  • V. V. Boiko ST “Zaycev V. T. Institute of General and Urgent Surgery AMS of Ukraine” (Kharkiv)
  • O. V. Buchnieva ST “Zaycev V. T. Institute of General and Urgent Surgery AMS of Ukraine” (Kharkiv)
  • Y. V. Shafer ST “Zaycev V. T. Institute of General and Urgent Surgery AMS of Ukraine” (Kharkiv)
  • Y. V. Pisklova ST “Zaycev V. T. Institute of General and Urgent Surgery AMS of Ukraine” (Kharkiv)
  • Y. V. Bogun ST “Zaycev V. T. Institute of General and Urgent Surgery AMS of Ukraine” (Kharkiv)
  • O. S. Krylova ST “Zaycev V. T. Institute of General and Urgent Surgery AMS of Ukraine” (Kharkiv)
  • Y. D. Kriuchkov ST “Zaycev V. T. Institute of General and Urgent Surgery AMS of Ukraine” (Kharkiv)
  • O. I. Tkach ST “Zaycev V. T. Institute of General and Urgent Surgery AMS of Ukraine” (Kharkiv)
Keywords: acute ascending aortic dissection, supracoronary ascending aorta replacement, antegrade cerebral perfusion

Abstract

The issues considering the type of surgical treatment for acute aortic dissection, the temperature mode and the use of circulatory arrest during surgeries on thoracic aorta are of current importance today. It is undisputed that the risks of postoperative complications decrease among patients who underwent surgery without circulatory arrest. Surgical risks among patients with acute aortic dissections is mostly due to the necessity of deep hypothermia for circulatory arrest. In ST “Zaycev V. T. Institute of General and Urgent Surgery AMS of Ukraine” 21 patients with acute ascending aortic dissections underwent surgery using moderate hypothermic circulatory arrest.

References

1. Непосредственные и отдаленные результаты хирургического лечения аневризм и расслоений восходящего отдела и дуги аорты / Ю. В. Белов, А. Б. Степаненко, Ф. В. Кузнечевский // Российский кардиологический журнал. 2004. № 5:5–16.

2. Технологии хирургического лечения аневризм грудного и торакоабдоминального отделов аорты / Ю. В. Белов, А. Б. Степаненко, А. П. Гене, Ф. Ф. Хамитов, Ф. В. Кузнечевский, Г. Р. Григорян / Анналы Российского научного центра хирургии РАМН. 2001 г. Выпуск №10: 22–29.

3. Хирургическое лечение аневризм и расслоений восходящего отдела и дуги аорты. Ф. В. Кузнечевский / Российский кардиологический журнал. 2002 г. № 6: 92–101.

4. Хирургическое лечение гигантских аневризм восходящего отдела и дуги аорты в условиях глубокой гипотермии и остановки кровообращения с периферическим подключением аппарата искусственного кровообращения / Ю. В. Белов. А. П. Гене, А. Б. Степаненко, Л. С. Локшин, Г. В. Бабалян, Ф. В. Кузнечевский, М. В. Кириллов / Хирургия. 2003 г. №5:4–8.

5. Acute aortic dissection: pathogenesis, risk factors and diagnosis. Gawinecka Joannaa, Schцnrath Felixb, von Eckardstein Arnolda a Institute of the Clinical Chemistry/ University Hospital Zurich, Switzerland Department of Cardiac, Thoracic and Vascular Surgery, German Heart Institute, Berlin, Germany / Review article: Biomedical Intelligence / Published 25 August 2017 /doi: https://doi.org/10.4414/smw.2017.14489 Cite this as: Swiss Med Wkly. 2017;147.

6. Clinical features and prognosis of patients with acute aortic dissection in China / Lujing Zhao, Yanfen Chai, Zhigang Li / Emergency Department of Tianjin 4th Center Hospital, China, /Volume: 45 issue: 2, page(s): 823–829, https://doi.org/10.1177/0300060517699319 Issue published: April 1, 2017.

7. A Contemporary Review of Acute Aortic Dissection/ Subhi J Al’Aref, Leonard N Girardi, Richard Devereux, Christopher Lau, Bobby D Ghosh, Rajesh V Swaminathan, Dmitriy N Feldman, Luke K Kim1, Geoffrey Bergman, Robert M Minutello, S Chiu Wong, Harsimran S Singh/ Division of Cardiology, Department of Medicine. NewYork Presbyterian Hospital – Weill Cornell Medical Center/ New York, NY 10065, Department of Cardiothoracic Surgery. NewYork Presbyterian Hospital – Weill Cornell Medical Center/ New York, NY 10065, Published date: July 14, 2015.

8. Mortality in patients with acute aortic dissection type A: analysis of pre- and intraoperative risk factors from the German Registry for Acute Aortic Dissection Type A (GERAADA)/ Lars Oliver Conzelmanna, Ernst Weigangb, Uwe Mehlhorna, Ahmad Abugamehd, Isabell Hoffmanne, Maria Blettnere, Christian D. Etzb, Martin Czernyb, and Christian F. Vahld / European Journal of Cardio-Thoracic Surgery 49 (2016)/ e44–e52 doi: https://doi.org/10.1093/ejcts/ezv356 / Advance Access publication 28 October 2015.
Published
2018-09-17
How to Cite
Boiko, V. V., Buchnieva, O. V., Shafer, Y. V., Pisklova, Y. V., Bogun, Y. V., Krylova, O. S., Kriuchkov, Y. D., & Tkach, O. I. (2018). Possibility of acute ascending aortic dissection treatment with moderate hypothermic circulatory arrest. Ukrainian Journal of Cardiovascular Surgery, (3 (32), 65-67. https://doi.org/10.30702/ujcvs/18.32/16(065-067)
Section
PATHOLOGY of AORTA