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Belov Yu.V.

RNTsKh im. akad. B.V. Petrovskogo RAMN

Komarov R.N.

Clinic for Aortic and Cardiovascular Surgery, I.M. Sechenov First Moscow State Medical University

Rosseikin E.V.

Federal Center for Cardiovascular Surgery under Ministry of Health of the Russian Federation, 440071, Penza, Russia

Vinokurov I.A.

FGBU "Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. akad. B.V. Petrovskogo" RAMN, Moskva

Risk factors and causes of hospital mortality after Bentall-deBono's surgery

Authors:

Belov Yu.V., Komarov R.N., Rosseikin E.V., Vinokurov I.A.

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Journal: Pirogov Russian Journal of Surgery. 2014;(5): 17‑20

Views: 773

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To cite this article:

Belov YuV, Komarov RN, Rosseikin EV, Vinokurov IA. Risk factors and causes of hospital mortality after Bentall-deBono's surgery. Pirogov Russian Journal of Surgery. 2014;(5):17‑20. (In Russ.)

Подписка 2025 (Pirogov Russian Journal of Surgery)
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It was done an evaluation of surgical treatment results of 71 patients with aortic arch aneurysm and aortic insufficiency, who were operated routinely. According to data of correlation and multiple regression analysis, chronic obstructive pulmonary disease and kidney disease before operation are significant factors predisposing to death in postoperative period. The authors consider that normalization of lungs and kidneys function before operation improves surgical treatment results in patients of this group.

Keywords:

aortic aneurysm
Bentall-DeBono's operation
aortic insufficiency
mortality
chronic obstructive pulmonary disease
kidneys
predictors

Authors:

Belov Yu.V.

RNTsKh im. akad. B.V. Petrovskogo RAMN

Komarov R.N.

Clinic for Aortic and Cardiovascular Surgery, I.M. Sechenov First Moscow State Medical University

Rosseikin E.V.

Federal Center for Cardiovascular Surgery under Ministry of Health of the Russian Federation, 440071, Penza, Russia

Vinokurov I.A.

FGBU "Rossiĭskiĭ nauchnyĭ tsentr khirurgii im. akad. B.V. Petrovskogo" RAMN, Moskva

List of references:

  1. Belov YU.V., CHarchyan EH.R. EHkzoprotezirovanie dugi aorty kak al'ternativa protezirovaniyu po metodu "poludugi" [Exo-prosthetis ofaortic archas an alternative toprosthetison "hemi-arch" technique]. Kardiol I serdechno-sosud khir 2012; 1: 49-51. (in Russian)
  2. Belov YU.V., Komarov R.N. Rukovodstvo po khirurgii torakoabdominal'nykh anevrizm aorty [Guide on thoracoabdominalaortic aneurysmsurgery]. M: MIА 2009; 464.(in Russian)
  3. Bokeriya L.А., Gudkova R.G. Serdechno-sosudistaya khirurgiya - 2011.Bolezni i vrozhdennye anomalii sistemy krovoobrashheniya [Cardiovascular Surgery- 2011. Disease andcongenital malformations ofthe circulatory system]. M:NTSSSKH im. А.N. Bakuleva RАMN 2012; 196.(in Russian)
  4. Konstantinov B.А., Belov YU.V., Kuznechevskij K.F. Аnevrizmyvoskhodyashhego otdela i dugi aorty [Aneurysmofthe ascendingaortaand aortic arch]. M 2006; 335. (in Russian)
  5. Bentall Н., De Bono A. A technique for complete replacement of the ascending aorta Thorax 1968; 23: 338-339.
  6. Felcar J.M., Guitti J.C.S., Marson A.C. et al. Preoperative physiotherapy in prevention of pulmonary complications in pediatric cardiac surgery. Rev Bras Cir Cardiovasc 2008; 23: 3: 383-388.
  7. Gelsomino S., Frassani R., Da Col P. et al. A long-term experience with the Cabrol root replacement technique for management of ascending aortic aneurysm and dissection. Ann Thorac Surg 2006; 75: 1: 126-131.
  8. Golledge J., Eagle K.A. Acute aortic dissection. Lancet 2008; 372: 55-66.
  9. Hirasawa Y., Aomi S., Saito S. et al. Long-term results of modified Bentall procedure using flanged composite aortic prosthesis and separately interposed coronary graft technique. Interactive Cardiovascular and Thoracic Surgery 2006; 5: 574-577.
  10. Kawahito K., Adachi H., Murata S. et al. Coronary malperfusion due to type a aortic dissection: mechanism and surgical management. Ann Thorac Surg 2003; 76: 1471-1476.
  11. Legras A., Bruzzi M., Nakashima К. et al. Risk factors for hospital death after surgery for type A aortic dissection. Asian Cardiovasc Thorac Ann 2012; 20: 269-274.
  12. Mehta R.L., Chertow G.M. Acute renal failure definitions and classification: Time for change? J Am Soc Nephrol 2003; 14: 2178-2187.
  13. Neri E., Toscano T., Massetti M. et al. Operation for acute type a aortic dissection in octogenarians: is it justified? J Thorac Cardiovasc Surg 2001; 121: 259-267.
  14. Stephen Т., Webb J., Stephen D. Perioperative renal protection. Contin Educ Anaesth Crit Care Pain 2008; 8: 176-180.
  15. Trimarchi S., Eagle K.A., Nienaber C.A. et al. Role of age in acute type a aortic dissection outcome: Report from the International Registry of Acute Aortic Dissection (IRAD). J Thorac Cardiovasc Surg 2010; 140: 784-789.

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