The first experience of surgical treatment of acute aortic dissection (type A) through the upper middle J-shaped ministernotomy

  • V. V. Vayda National M. M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Sciences of Ukraine (Kyiv)
  • I. I. Zhekov National M. M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Sciences of Ukraine (Kyiv)
  • V. I. Kravchenko National M. M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Sciences of Ukraine (Kyiv)
  • I. M. Kravchenko National M. M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Sciences of Ukraine (Kyiv)
  • O. B. Larionova National M. M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Sciences of Ukraine (Kyiv)
  • V. V. Lazoryshynets National M. M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Sciences of Ukraine (Kyiv)
Keywords: ministernotomy, acute aortic dissection, supracoronary replacement of the ascending aorta, hemiarch reconstruction, antegrade cerebral perfusion

Abstract

In recent years, minimally invasive access has increasingly been implicated in cardiac surgery. Already there are many reports in Ukraine about the use of ministernotomy for correction of isolated aortic defects, as well as in conjunction with an ascending aortic aneurysm. These techniques are worked out and actively used. Despite the significant progress and development in this field, cases of surgical treatment of acute aortic dissection (type I for De Bakey) in Ukrainian literature we did not meet.

To present a clinical case of surgical treatment of acute aortic dissection type A through the upper middle J-shaped ministernotomy. A patient, 28 years old, with a diagnosis of acute aortic aneurysm dissection type A, who undergone supracoronary replacement of the ascending aorta with hemiarch reconstruction under conditions of deep hypothermia and selective antegrade cerebral perfusion through the upper middle J-shaped ministernotomy.

Thus, minimally invasive access, despite some technical difficulties, and taking into account the volume and complexity of surgical intervention, eliminates the disadvantages that are characteristic of the traditional longitudinal median sternotomy.

References

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2. Минимально инвазивная хирургия сердца / под ред. Л. А. Бокерия. – М., 2008. – 92 с.

3. Бокерия Л. А., Скопин И. И., Нарсия Б. Е. Результаты протезирования аортального клапана из мини-доступов // Бюллетень НЦССХ им. А. Н. Бакулева РАМН. Материалы Х Всероссийского съезда сердечнососудистых хирургов. – М., 2014. – № 11. – Том 5. – С. 187.

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Published
2018-03-12
How to Cite
Vayda, V. V., Zhekov, I. I., Kravchenko, V. I., Kravchenko, I. M., Larionova, O. B., & Lazoryshynets, V. V. (2018). The first experience of surgical treatment of acute aortic dissection (type A) through the upper middle J-shaped ministernotomy. Ukrainian Journal of Cardiovascular Surgery, (1 (30), 64-66. https://doi.org/10.30702/ujcvs/18.30/14(064-066)
Section
PATHOLOGY of AORTA

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