Results of interventions for aortic dissection type I De Bakey in patients after previous cardiac surgery

Cherniavskiĭ A.M.; Al'sov S.A.; Liashenko M.M.; Sirota D.A.; Khvan D.S.

doi:https://doi.org/

Cherniavskiĭ A.M.

Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina;
Rossiĭskiĭ kardiologicheskiĭ nauchno-proizvodstvennyĭ kompleks Minzdravsotsrazvitiia Rossii, Moskva

Al'sov S.A.

NNIIPK im. akad. E.N. Meshalkina Minzdravsotsrazvitiia RF

Liashenko M.M.

FGBU "Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdrava RF, Tsentr khirurgii aorty, koronarnykh i perifericheskikh arteriĭ

Sirota D.A.

NNIIPK im. akad. E.N. Meshalkina Minzdravsotsrazvitiia RF

Khvan D.S.

FGU NNIIPK im. akad. E.N. Meshalkina Minzdravsotsrazvitiia Rossii

Results of interventions for aortic dissection type I De Bakey in patients after previous cardiac surgery

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Cherniavskiĭ A.M., Al'sov S.A., Liashenko M.M., Sirota D.A., Khvan D.S.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2014;7(3): 18‑23

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Cherniavskiĭ AM, Al'sov SA, Liashenko MM, Sirota DA, Khvan DS. Results of interventions for aortic dissection type I De Bakey in patients after previous cardiac surgery. Russian Journal of Cardiology and Cardiovascular Surgery. 2014;7(3):18‑23. (In Russ.)

Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)

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Abstract:

It was analyzed the results of surgical treatment of patients with aortic dissection type I De Bakey, who had previous open-heart surgery. In terms of 1999 to May 2013 it was operated 184 patients for aortic dissection type I De Bakey. 170 patients had primary surgery and 14 patients had previous heart surgery. It was shown that active surgical tactics in case of repeated interventions does not increase the risk of perioperative complications (mortality, blood loss, neurological deficit), reducing the risk of fatal complications (aortic rupture). It was concluded that surgical tactics for acute aortic dissection should be the earliest possible intervention regardless of the presence or absence of previous operations on the heart. It is necessary to expand the indications for intervention on the ascending aorta during primary cardiac surgery for coronary heart disease, valvular heart disease even in case of borderline aortic diameter (4 cm).

Keywords:

acute aortic dissection

repeated interventions

surgical tactics

complications

mortality

blood loss

Authors:

Cherniavskiĭ A.M.

Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina;
Rossiĭskiĭ kardiologicheskiĭ nauchno-proizvodstvennyĭ kompleks Minzdravsotsrazvitiia Rossii, Moskva

Al'sov S.A.

NNIIPK im. akad. E.N. Meshalkina Minzdravsotsrazvitiia RF

Liashenko M.M.

FGBU "Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdrava RF, Tsentr khirurgii aorty, koronarnykh i perifericheskikh arteriĭ

Sirota D.A.

NNIIPK im. akad. E.N. Meshalkina Minzdravsotsrazvitiia RF

Khvan D.S.

FGU NNIIPK im. akad. E.N. Meshalkina Minzdravsotsrazvitiia Rossii

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References:

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