Surgical treatment of congenital aortic arch disease

Sinelnikov Yu.S.

Sukhanov Federal Center for Cardiovascular Surgery

Gasanov E.N.

Topchibashov Research Center of Surgery

Soynov I.A.

Meshalkin National Medical Research Center

ORCID: 0000-0003-3691-2848

Mirzazade F.A.

Topchibashov Research Center of Surgery

Surgical treatment of congenital aortic arch disease

Authors:

Sinelnikov Yu.S., Gasanov E.N., Soynov I.A., Mirzazade F.A.

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Journal: Pirogov Russian Journal of Surgery. 2020;(9): 38‑42

DOI: 10.17116/hirurgia202009138

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To cite this article:

Sinelnikov YuS, Gasanov EN, Soynov IA, Mirzazade FA. Surgical treatment of congenital aortic arch disease. Pirogov Russian Journal of Surgery. 2020;(9):38‑42. (In Russ.)
https://doi.org/10.17116/hirurgia202009138

Подписка 2025 (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

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OBJECTIVE

To report treatment outcomes in patients with congenital aortic arch disease.

MATERIAL AND METHODS

There were 65 patients (45 boys and 20 girls) for the period from 2005 to 2019. Mean age of patients was 53±12 days (range 1—98), weight — 3,3±1,3 kg (range 2.2—4.6). All patients were divided into 2 groups depending on the method of surgical repair. The 1^st group included 33 patients who underwent patch repair, the 2^nd group (n=32) — anastomosis in end-to-side fashion.

RESULTS

In group I, recurrent aortic arch coarctation was observed in 16.8% of cases, in group II — only in 4% of cases (p=0.02). Analysis of systolic pressure in both groups revealed that arterial hypertension was detected in 39% of cases in group I and only in 9,1% of cases in group II (p=0,0025).

CONCLUSION

Surgical treatment of aortic arch disease using anastomosis in end-to-side fashion is associated with reduced risk of recurrent aortic arch coarctation and residual arterial hypertension in long-term postoperative period.

Keywords:

aortic arch repair

infants

deep hypothermia

antegrade cerebral perfusion

renal dysfunction

Authors:

Sinelnikov Yu.S.

Sukhanov Federal Center for Cardiovascular Surgery

Gasanov E.N.

Topchibashov Research Center of Surgery

Soynov I.A.

Meshalkin National Medical Research Center

ORCID: 0000-0003-3691-2848

Mirzazade F.A.

Topchibashov Research Center of Surgery

Received:

19.03.2020

Accepted:

11.04.2020

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