Ascending aorta and hemiarch replacement without circulatory arrest for aortic aneurysm and local dissection

Vachev A.N.; Dmitriev O.V.; Kozin I.I.; Chernovalov D.A.; Gryaznova D.A.; Italyantsev A.Yu.; Lukyanov A.A.; Gureev A.D.; Prozhoga M.G.

doi:https://doi.org/10.17116/kardio202013021151

Vachev A.N.

Clinic of Faculty Surgery, Samara State Medical University, Samara, Russia

Dmitriev O.V.

Clinic of Faculty Surgery, Samara State Medical University, Samara, Russia

Kozin I.I.

Samara State Medical University of the Ministry of Health of Russia, Samara, Russia

Chernovalov D.A.

Kafedra fakul'tetskoĭ khirurgii Samarskogo gosudarstvennogo meditsinskogo universiteta

Gryaznova D.A.

Samara State Medical University of the Ministry of Health of Russia, Samara, Russia

Italyantsev A.Yu.

Samara State Medical University of the Ministry of Health of Russia, Samara, Russia

Lukyanov A.A.

Samara State Medical University of the Ministry of Health of Russia, Samara, Russia

Gureev A.D.

Samara State Medical University of the Ministry of Health of Russia, Samara, Russia

Prozhoga M.G.

Samara State Medical University of the Ministry of Health of Russia, Samara, Russia

Ascending aorta and hemiarch replacement without circulatory arrest for aortic aneurysm and local dissection

Authors:

Vachev A.N., Dmitriev O.V., Kozin I.I., Chernovalov D.A., Gryaznova D.A., Italyantsev A.Yu., Lukyanov A.A., Gureev A.D., Prozhoga M.G.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2020;13(2): 151‑156

DOI: 10.17116/kardio202013021151

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To cite this article:

Vachev AN, Dmitriev OV, Kozin II, et al. . Ascending aorta and hemiarch replacement without circulatory arrest for aortic aneurysm and local dissection. Russian Journal of Cardiology and Cardiovascular Surgery. 2020;13(2):151‑156. (In Russ.)
https://doi.org/10.17116/kardio202013021151

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

Использование инфографики авторами научных работ

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Abstract:

Deep hypothermic circulatory arrest, selective antegrade cerebral perfusion with moderate hypothermia, retrograde cerebral perfusion and antegrade normothermic cerebral perfusion are used for cerebral protection in aortic arch surgery. Circulatory arrest is required in all these cases. Ascending aorta and hemiarch replacement without circulatory arrest is reported in this article. Postoperative period was uneventful. The patient was discharged after 12 days. Hypothermic circulatory arrest is not an obligatory approach for hemiarch replacement in patients with aortic aneurysm or local dissection.

Keywords:

aortic arch aneurysm

aortic dissection

aortic arch replacement

hemiarch

hypothermic circulatory arrest

antegrade cerebral perfusion

distal aortic perfusion

Authors:

Vachev A.N.

Clinic of Faculty Surgery, Samara State Medical University, Samara, Russia

Dmitriev O.V.

Clinic of Faculty Surgery, Samara State Medical University, Samara, Russia

Kozin I.I.

Samara State Medical University of the Ministry of Health of Russia, Samara, Russia

Chernovalov D.A.

Kafedra fakul'tetskoĭ khirurgii Samarskogo gosudarstvennogo meditsinskogo universiteta

Gryaznova D.A.

Samara State Medical University of the Ministry of Health of Russia, Samara, Russia

Italyantsev A.Yu.

Samara State Medical University of the Ministry of Health of Russia, Samara, Russia

Lukyanov A.A.

Samara State Medical University of the Ministry of Health of Russia, Samara, Russia

Gureev A.D.

Samara State Medical University of the Ministry of Health of Russia, Samara, Russia

Prozhoga M.G.

Samara State Medical University of the Ministry of Health of Russia, Samara, Russia

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References:

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