Aortic valve reimplantation combined with total arch replacement in type A aortic dissection

Boldyrev S.Yu.; Bezdenezhnykh O.S.; Abidzakh S.B.; Sapunov V.A.; Barbukhatti K.O.

doi:https://doi.org/10.17116/hirurgia202501180

Boldyrev S.Yu.

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

ORCID: 0000-0003-3325-3146

Bezdenezhnykh O.S.

Kuban State Medical University

ORCID: 0000-0002-3760-6079

Abidzakh S.B.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

ORCID: 0009-0005-2288-8471

Sapunov V.A.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

ORCID: 0000-0002-3774-1983

Barbukhatti K.O.

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

ORCID: 0000-0001-9154-6460

Aortic valve reimplantation combined with total arch replacement in type A aortic dissection

Authors:

Boldyrev S.Yu., Bezdenezhnykh O.S., Abidzakh S.B., Sapunov V.A., Barbukhatti K.O.

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Journal: Pirogov Russian Journal of Surgery. 2025;(1): 80‑85

DOI: 10.17116/hirurgia202501180

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To cite this article:

Boldyrev SYu, Bezdenezhnykh OS, Abidzakh SB, Sapunov VA, Barbukhatti KO. Aortic valve reimplantation combined with total arch replacement in type A aortic dissection. Pirogov Russian Journal of Surgery. 2025;(1):80‑85. (In Russ.)
https://doi.org/10.17116/hirurgia202501180

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

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Abstract:

We present simultaneous aortic valve reimplantation, replacement of aortic arch, right common carotid artery and proximal parts of the right subclavian and left common carotid arteries in a patient with type I aortic dissection. Involvement of supra-aortic arteries is the main predictor of cerebral malperfusion and mortality in acute aortic dissection. Optimal surgical intervention in such patients is still unclear. Moreover, patients with acute ascending aortic dissection rarely undergo valve-sparing surgery, since such interventions require much time and prolong myocardial ischemia.

Keywords:

acute aortic dissection

aortic valve reimplantation

cerebral perfusion

dissection of supra-aortic arteries

total replacement of carotid arteries

Authors:

Boldyrev S.Yu.

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

ORCID: 0000-0003-3325-3146

Bezdenezhnykh O.S.

Kuban State Medical University

ORCID: 0000-0002-3760-6079

Abidzakh S.B.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

ORCID: 0009-0005-2288-8471

Sapunov V.A.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

ORCID: 0000-0002-3774-1983

Barbukhatti K.O.

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

ORCID: 0000-0001-9154-6460

Received:

02.03.2024

Accepted:

31.05.2024

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References:

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