The upper J–like ministernotomy in surgical treatment of pathology of aorta ascendance: peculiarities of surgical technique and analysis of results of first 70 operations

Keywords: ministernotomy; aortal stenosis; aneurism of aorta ascendance; aortal insufficiency

Abstract

Objective. To improve the results of surgical treatment of the aorta ascendance pathology in combination with affection of aortal valve due to minimization of operative trauma.

Materials and methods. In Amosov National Institute of Cardio–Vascular Surgery in period 01.01.2015 – 01.01.2019 yr 70 patients were operated, in whom the operative access of a J–like ministernotomy was applied.

Results. Operative mortality was absent. Mechanical ventilation after the intervention have lasted (4.5 ± 0.5) hours. All the patients were delivered to Department of Reanimation and Intensive Therapy during (36 ± 3.5) hours after the operation. Complications of this procedure were noted in 5 (7.1%) patients.

Conclusion. The procedure for correction of the aortal heart failures, combined with the aorta ascendance aneurism, using miniinvasive access, may serve as the median sternotomy clinical alternative.

Author Biographies

V. V. Vayda, Amosov National Institute of Cardio–Vascular Surgery, Kyiv, Ukraine

Vayda Volodymyr V., Postgraduate Scientific Researcher,
Department of Surgical Treatment of Aorta,
Amosov National Institute of Cardio-Vascular Surgery,
6, Amosov Str., 03680, Kyiv, Ukraine,
tel: +38044-333-84-08,
email: dr.vayda@gmail.com,
ORCID ID: 0000-0002-2135-0734

V. I. Kravchenko, Amosov National Institute of Cardio–Vascular Surgery, Kyiv, Ukraine

Kravchenko Vitalii I., MD, PhD(Med),
Head of Department of Surgical Treatment of Aorta,
Amosov National Institute of Cardio-Vascular Surgery,
6, Amosov Str., 03680, Kyiv, Ukraine,
tel: +38044-333-84-08,
email: kravchenkovi@gmail.com,
ORCID ID: 0000-0002-8789-8655

I. I. Zhekov, Amosov National Institute of Cardio–Vascular Surgery, Kyiv, Ukraine

Zhekov Ihor I., MD, PHd,
Senior Scientific Researcher of Department of Surgical Treatment of Aorta,
Amosov National Institute of Cardio-Vascular Surgery,
6, Amosov Str., 03680, Kyiv, Ukraine,
tel: +38044-333-84-08,
email: zhekovii@gmail.com,
ORCID ID: 0000-0003-1297-4323

I. M. Kravchenko, Amosov National Institute of Cardio–Vascular Surgery, Kyiv, Ukraine

Kravchenko Ivan M., MD, DSci(Med), Professor,
Head Scientific Researcher of Department of Surgical Treatment of Aorta,
Amosov National Institute of Cardio-Vascular Surgery,
6, Amosov Str., 03680, Kyiv, Ukraine,
tel: +38044-333-84-08,
email: kravchenkoim@gmail.com,
ORCID ID: 0000-0002-7835-9481

V. V. Lazoryshynets, Amosov National Institute of Cardio–Vascular Surgery, Kyiv, Ukraine

Lazoryshynets Vasil V. MD, Dsci(Med), Professor,
Director of Amosov National Institute of Cardio-Vascular Surgery,
6, Amosov Str., 03680, Kyiv, Ukraine,
tel: +38044-333-84-08,
email: lazoryshynetsvv@gmail.com,
ORCID ID: 0000-0002-8105-9252

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Published
2019-09-28
How to Cite
Vayda, V. V., Kravchenko, V. I., Zhekov, I. I., Kravchenko, I. M., & Lazoryshynets, V. V. (2019). The upper J–like ministernotomy in surgical treatment of pathology of aorta ascendance: peculiarities of surgical technique and analysis of results of first 70 operations. Klinicheskaia Khirurgiia, 86(9), 8-11. https://doi.org/10.26779/2522-1396.2019.09.08
Section
General Problems of Surgery