Hybrid surgery for aneurysm of the arch and descending part of the aorta. Right-left subclavian bypass as a variant of subtotal debranching
The article presents the experience of our team in various surgical methods of treating aortic pathology. Surgical pathology of the thoracic aorta, namely aneurysms and dissections, remains controversial for the «heart team». In recent years, endovascular aortic replacement (TEVAR) has proven itself...
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| Format: | Article |
| Language: | English |
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TOV Chetverta Khvylia
2023-06-01
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| Series: | Кардіохірургія та інтервенційна кардіологія |
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| Online Access: | https://csic.com.ua/en/issues/archive/1-2-2023/1375-hybrid-surgery-for-aneurysm-of-the-arch-and-descending-part-of-the-aorta-right-left-subclavian-bypass-as-a-variant-of-subtotal-debranching.html |
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| author | O.V. Zelenchuk A.V. Khokhlov A.Yu. Shkandala K.S. Boiko O.Yu. Polishchuk Z.V. Press B.M. Todurov |
| author_facet | O.V. Zelenchuk A.V. Khokhlov A.Yu. Shkandala K.S. Boiko O.Yu. Polishchuk Z.V. Press B.M. Todurov |
| author_sort | O.V. Zelenchuk |
| collection | DOAJ |
| description | The article presents the experience of our team in various surgical methods of treating aortic pathology. Surgical pathology of the thoracic aorta, namely aneurysms and dissections, remains controversial for the «heart team». In recent years, endovascular aortic replacement (TEVAR) has proven itself as a treatment option for many aortic diseases with a mortality rate up to 7.5 %. According to the latest clinical recommendations, TEVAR has become the method of choice in the treatment of acute aortic dissection, showing better results compared to medical therapy and open surgery. However, the endovascular approach requires certain anatomical features that allow the correct placement of the stent-graft, which is not always possible. Thus, when the brachiocephalic arteries are involved in the pathological process, artificial blood circulation is required with the use of additional methods to protect the brain, such as cerebral perfusion and hypothermia. All these factors increase the risk of intra- and postoperative complications, as well as early mortality. Different methods of open surgery to replace all or most of the thoracic aorta are described, which represent a radical approach and require a high level of professional skills of the surgeon and experience in working with artificial blood circulation.
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| format | Article |
| id | doaj-art-61595c63ba9246c6b3e37052d129c3a0 |
| institution | Kabale University |
| issn | 2305-3127 |
| language | English |
| publishDate | 2023-06-01 |
| publisher | TOV Chetverta Khvylia |
| record_format | Article |
| series | Кардіохірургія та інтервенційна кардіологія |
| spelling | doaj-art-61595c63ba9246c6b3e37052d129c3a02025-01-16T17:13:24ZengTOV Chetverta KhvyliaКардіохірургія та інтервенційна кардіологія2305-31272023-06-011/2778710.31928/2305-3127-2023.1-2.7787Hybrid surgery for aneurysm of the arch and descending part of the aorta. Right-left subclavian bypass as a variant of subtotal debranchingO.V. Zelenchuk0A.V. Khokhlov1A.Yu. Shkandala2K.S. Boiko3O.Yu. Polishchuk4Z.V. Press5B.M. Todurov6Shupyk National Healthcare University of Ukraine, Kyiv, Ukraine Heart Institute of the Ministry of Health of Ukraine, Kyiv, UkraineShupyk National Healthcare University of Ukraine, Kyiv, UkraineShupyk National Healthcare University of Ukraine, Kyiv, UkraineHeart Institute of the Ministry of Health of Ukraine, Kyiv, UkraineHeart Institute of the Ministry of Health of Ukraine, Kyiv, UkraineHeart Institute of the Ministry of Health of Ukraine, Kyiv, UkraineThe article presents the experience of our team in various surgical methods of treating aortic pathology. Surgical pathology of the thoracic aorta, namely aneurysms and dissections, remains controversial for the «heart team». In recent years, endovascular aortic replacement (TEVAR) has proven itself as a treatment option for many aortic diseases with a mortality rate up to 7.5 %. According to the latest clinical recommendations, TEVAR has become the method of choice in the treatment of acute aortic dissection, showing better results compared to medical therapy and open surgery. However, the endovascular approach requires certain anatomical features that allow the correct placement of the stent-graft, which is not always possible. Thus, when the brachiocephalic arteries are involved in the pathological process, artificial blood circulation is required with the use of additional methods to protect the brain, such as cerebral perfusion and hypothermia. All these factors increase the risk of intra- and postoperative complications, as well as early mortality. Different methods of open surgery to replace all or most of the thoracic aorta are described, which represent a radical approach and require a high level of professional skills of the surgeon and experience in working with artificial blood circulation. https://csic.com.ua/en/issues/archive/1-2-2023/1375-hybrid-surgery-for-aneurysm-of-the-arch-and-descending-part-of-the-aorta-right-left-subclavian-bypass-as-a-variant-of-subtotal-debranching.htmlaneurysmdissectionendovascular aortic repairhybrid surgerydebranching |
| spellingShingle | O.V. Zelenchuk A.V. Khokhlov A.Yu. Shkandala K.S. Boiko O.Yu. Polishchuk Z.V. Press B.M. Todurov Hybrid surgery for aneurysm of the arch and descending part of the aorta. Right-left subclavian bypass as a variant of subtotal debranching Кардіохірургія та інтервенційна кардіологія aneurysm dissection endovascular aortic repair hybrid surgery debranching |
| title | Hybrid surgery for aneurysm of the arch and descending part of the aorta. Right-left subclavian bypass as a variant of subtotal debranching |
| title_full | Hybrid surgery for aneurysm of the arch and descending part of the aorta. Right-left subclavian bypass as a variant of subtotal debranching |
| title_fullStr | Hybrid surgery for aneurysm of the arch and descending part of the aorta. Right-left subclavian bypass as a variant of subtotal debranching |
| title_full_unstemmed | Hybrid surgery for aneurysm of the arch and descending part of the aorta. Right-left subclavian bypass as a variant of subtotal debranching |
| title_short | Hybrid surgery for aneurysm of the arch and descending part of the aorta. Right-left subclavian bypass as a variant of subtotal debranching |
| title_sort | hybrid surgery for aneurysm of the arch and descending part of the aorta right left subclavian bypass as a variant of subtotal debranching |
| topic | aneurysm dissection endovascular aortic repair hybrid surgery debranching |
| url | https://csic.com.ua/en/issues/archive/1-2-2023/1375-hybrid-surgery-for-aneurysm-of-the-arch-and-descending-part-of-the-aorta-right-left-subclavian-bypass-as-a-variant-of-subtotal-debranching.html |
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