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Boldyrev S.Yu.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1;
Kuban State Medical University

Bezdenezhnykh O.S.

Kuban State Medical University

Marukyan M.A.

Kuban State Medical University

Alukhanyan O.A.

Kuban State Medical University

Barbukhatti K.O.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1;
Kuban State Medical University

Aortic root reinforcement using the «Florida Sleeve» technique and partial arch replacement in aortic insufficiency and rupture of the borderline dilated aorta

Authors:

Boldyrev S.Yu., Bezdenezhnykh O.S., Marukyan M.A., Alukhanyan O.A., Barbukhatti K.O.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2024;17(6): 691‑694

DOI: 10.17116/kardio202417061691

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Table of contents

AORTIC ROOT REINFORCEMENT USING THE «FLORIDA SLEEVE» TECHNIQUE AND PARTIAL ARCH REPLACEMENT IN AORTIC INSUFFICIENCY AND RUPTURE OF THE BORDERLINE DILATED AORTA
AORTIC ROOT REINFORCEMENT USING THE «FLORIDA SLEEVE» TECHNIQUE AND PARTIAL ARCH REPLACEMENT IN AORTIC INSUFFICIENCY AND RUPTURE OF THE BORDERLINE DILATED AORTA

To cite this article:

Boldyrev SYu, Bezdenezhnykh OS, Marukyan MA, Alukhanyan OA, Barbukhatti KO. Aortic root reinforcement using the «Florida Sleeve» technique and partial arch replacement in aortic insufficiency and rupture of the borderline dilated aorta. Russian Journal of Cardiology and Cardiovascular Surgery. 2024;17(6):691‑694. (In Russ.)
https://doi.org/10.17116/kardio202417061691

 
ЭндоКард
Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)
 
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Использование инфографики авторами научных работ
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Abstract:

Currently, ruptures and dissections of ascending aorta <50 mm are common in the literature. However, modern guidelines recommend preventive replacement of ascending aorta ≥5.5 cm and ignore patients with borderline aortic dilatation. The need for surgical treatment of borderline aortic dilatation is discussable. We present surgical treatment of a patient with ascending aorta enlargement <40 mm. According to the latest European and American guidelines, this patient does not meet the threshold standards for prophylactic ascending aortic replacement. However, intraoperative histological examination revealed severe disorders in aortic wall that necessitated ascending aorta replacement and hemiarch procedure. This method may be valuable to determine optimal surgical approach.

Keywords:

aortic dissection
aneurysm
aortic diameter
border dilatation

Authors:

Boldyrev S.Yu.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1;
Kuban State Medical University

Bezdenezhnykh O.S.

Kuban State Medical University

Marukyan M.A.

Kuban State Medical University

Alukhanyan O.A.

Kuban State Medical University

Barbukhatti K.O.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1;
Kuban State Medical University

Received:

02.05.2023

Accepted:

03.06.2023

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References:

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  2. Harky A, Bashir M, Antoniou A, Francis N, Alhamdan L, Uppal R. Size and dissection: what is the relation? Indian J Thorac Cardiovasc Surg. 2019;35(Suppl 2):72-78.  https://doi.org/10.1007/s12055-018-0687-2
  3. Papakonstantinou NA, Rorris FP. Elective replacement of the ascending aorta: is the 5.5-cm threshold appropriate? The insidious, small aorta. Eur J Cardiothorac Surg. 2021;59(3):554-561.  https://doi.org/10.1093/ejcts/ezaa387
  4. Isselbacher EM, Preventza O, Hamilton Black III J, et al. 2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines. Journal of the American College of Cardiology. 2022;80(24):e223-e393. https://doi.org/10.1016/j.jacc.2022.08.004
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  6. Evangelista A, Flachskampf FA, Erbel R, et al. European Association of Echocardiography; Document Reviewers:, Pepi M, Breithardt OA, Plonska-Gosciniak E. Echocardiography in aortic diseases: EAE recommendations for clinical practice. Eur J Echocardiogr. 2010 Sep;11(8):645-658. Erratum in: Eur J Echocardiogr. 2011;12(8):642.  https://doi.org/10.1093/ejechocard/jeq056
  7. Zafar MA, Li Y, Rizzo JA, et al. Height alone, rather than body surface area, suffices for risk estimation in ascending aortic aneurysm. J Thorac Cardiovasc Surg. 2018;155(5):1938-1950. https://doi.org/10.1016/j.jtcvs.2017.10.140
  8. Krüger T, Sandoval Boburg R, Lescan M, et al. Aortic elongation in aortic aneurysm and dissection: the Tübingen Aortic Pathoanatomy (TAIPAN) project. Eur J Cardiothorac Surg. 2018;54(1):26-33.  https://doi.org/10.1093/ejcts/ezx503
  9. Wu J, Zafar MA, Li Y, et al. Ascending Aortic Length and Risk of Aortic Adverse Events: The Neglected Dimension. J Am Coll Cardiol. 2019;74(15):1883-1894. https://doi.org/10.1016/j.jacc.2019.07.078
  10. Boldyrev SYu, Rossokha OA, Ponkina ON, Barsuk AV, Terman EA, Barbukhatti KO, Porkhanov VA. A new approach to aortic root reconstruction: the role of histological examination in surgery of ascending aortic aneurysms. Kardiologiya i Serdechno-Sosudistaya Khirurgiya. 2015;8(4):4-8. (In Russ.). https://doi.org/10.17116/kardio2015844-8
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