Procedure of complex braided wrapping of ascending aorta in her poststenotic dilation while doing correction of aortal stenosis

Keywords: poststenotic dilation of ascending aorta; aneurism of ascending aorta; wrapping of ascending aorta; artificial blood circulation.

Abstract

Objective. To study clinical possibilities of original procedure of the ascending aorta braid-like bandage for her poststenotic dilation while performance of the aortal stenosis surgical correction.

Materials and methods. To the main Group 196 patients were included those, who were operated on for prevailing aortal stenosis, conjoined with poststenotic dilation of ascending aorta. In accordance to the echocardiographic investigation data the ascending aorta diameter preoperatively have constituted (47.7 ± 1.7) mm. In all the patients the aortal valve prosthesis was performed together with complex braided wrapping of ascending aorta. Into the control group 121 patients were included, in whom Bentall intervention was accomplished with vascular prosthesis of ascending aorta.

Results. Hospital lethality in the main group have constituted 0.5%. Diameter of ascending aorta in the moment of hospital discharge have constituted (39.1 ± 1.5) mm, and in late follow-up period - (40.3 ± 1.1) mm.

Conclusion. Basing on clinical experience gained, it is expedient to recommend the original procedure of braided wrapping of ascending aorta in presence of her poststenotic dilation while performing surgical correction of prevailing aortal stenosis.

Author Biographies

V. V. Popov, Amosov National Institute of Cardiovascular Surgery, Kyiv

Popov Volodymyr V. - MD, DSci(Med),
Head of Department of Surgical Treatment of Acquired Heart Diseases,
Amosov National Institute of Cardiovascular Surgery
6, M. Amosova Str., Kyiv, Ukraine, 03038
+38 067 402 24 39
vladpopov@ukr.net
https://orcid.org/0000-0002-2851-5589

A. A. Bolshak, Amosov National Institute of Cardiovascular Surgery, Kyiv

Bolshak Oleksandr O. - MD, PhD,
Department of Surgical Treatment of Acquired Heart Diseases,
Amosov National Institute of Cardiovascular Surgery
6, M. Amosova Str., Kyiv, Ukraine, 03038
+38 097 194 79 98
bolshak2077@gmail.com
https://orcid.org/0000-0002-6089-9594

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Published
2020-10-29
How to Cite
Popov, V. V., & Bolshak, A. A. (2020). Procedure of complex braided wrapping of ascending aorta in her poststenotic dilation while doing correction of aortal stenosis. Klinicheskaia Khirurgiia, 87(9-10), 18-21. https://doi.org/10.26779/2522-1396.2020.9-10.18
Section
General Problems of Surgery