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Charchyan E.R.

Petrovsky National Research Centre of Surgery

Kakabadze A.G.

Petrovsky Russian Scientific Center of Surgery

Breshenkov D.G.

Petrovsky National Research Center of Surgery

Shabanova N.A.

Petrovsky National Research Center of Surgery

Neizvestnykh D.P.

Petrovsky National Research Center of Surgery

Stepanenko A.B.

Petrovsky National Research Centre of Surgery

Belov Yu.V.

Petrovsky National Research Center of Surgery;
Sechenov First Moscow State Medical University

Melikova V.D.

Petrovsky National Research Center of Surgery

Prudnikov M.Yu.

Petrovsky National Research Center of Surgery

Redo frozen elephant trunk procedures after surgical treatment of acute aortic dissection type I

Authors:

Charchyan E.R., Kakabadze A.G., Breshenkov D.G., Shabanova N.A., Neizvestnykh D.P., Stepanenko A.B., Belov Yu.V., Melikova V.D., Prudnikov M.Yu.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2025;18(5): 503‑510

DOI: 10.17116/kardio202518051503

Read: 270 times

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Table of contents

REDO FROZEN ELEPHANT TRUNK PROCEDURES AFTER SURGICAL TREATMENT OF ACUTE AORTIC DISSECTION TYPE I
REDO FROZEN ELEPHANT TRUNK PROCEDURES AFTER SURGICAL TREATMENT OF ACUTE AORTIC DISSECTION TYPE I

To cite this article:

Charchyan ER, Kakabadze AG, Breshenkov DG, et al. . Redo frozen elephant trunk procedures after surgical treatment of acute aortic dissection type I. Russian Journal of Cardiology and Cardiovascular Surgery. 2025;18(5):503‑510. (In Russ.)
https://doi.org/10.17116/kardio202518051503

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

OBJECTIVE

To evaluate the results of redo frozen elephant trunk (FET) procedures after previous surgical correction of acute aortic dissection type I.

MATERIAL AND METHODS

A retrospective cohort analysis included 97 patients with DeBakey type I aortic dissection who underwent FET procedures between 2016 and 2025. Patients were divided into two groups depending on intervention: group 1 (n=45) — repeated patients who underwent previous surgical correction of acute type I aortic dissection, group 2 (n=52) — patients with acute type 1 aortic dissection who underwent previous radical treatment. Early postoperative results were analyzed.

RESULTS

Significant differences were obtained for some parameters: length of hospital-stay (p=0.0471), intraoperative parameters, incidence of infectious complications (p=0.028), recurrent laryngeal nerve injuries (p=0.001), as well as total number of complications (p=0.019). In addition, there was significantly higher incidence of distal aortic repair in the group of repeated interventions (p=0.033).

CONCLUSION

Redo aortic arch surgery is still difficult with high risk of complications and negative distal aortic remodeling despite acceptable results in experienced centers.

Keywords:

redo surgery
acute aortic dissection
frozen elephant trunk

Authors:

Charchyan E.R.

Petrovsky National Research Centre of Surgery

Kakabadze A.G.

Petrovsky Russian Scientific Center of Surgery

Breshenkov D.G.

Petrovsky National Research Center of Surgery

Shabanova N.A.

Petrovsky National Research Center of Surgery

Neizvestnykh D.P.

Petrovsky National Research Center of Surgery

Stepanenko A.B.

Petrovsky National Research Centre of Surgery

Belov Yu.V.

Petrovsky National Research Center of Surgery;
Sechenov First Moscow State Medical University

Melikova V.D.

Petrovsky National Research Center of Surgery

Prudnikov M.Yu.

Petrovsky National Research Center of Surgery

Received:

20.05.2025

Accepted:

10.06.2025

Close metadata

References:

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