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

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.

More about the authors

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

DOI: 10.17116/hirurgia202501180

Downloaded: 4

Contact the author

Table of contents

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 2025-2 (Pirogov Russian Journal of Surgery)

Close metadata

Recommended articles:

Implantation of a new domestic stent-graft with subclavian artery branch for acute type A aortic dissection. Russian Journal of Cardiology and Cardiovascular Surgery. 2024;(3):340-344

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

List of references:

Writing Committee Members; Isselbacher EM, Preventza O, Hamilton Black Iii J, Augoustides JG, Beck AW, Bolen MA, Braverman AC, Bray BE, Brown-Zimmerman MM, Chen EP, Collins TJ, DeAnda A Jr, Fanola CL, Girardi LN, Hicks CW, Hui DS, Jones WS, Kalahasti V, Kim KM, Milewicz DM, Oderich GS, Ogbechie L, Promes SB, Ross EG, Schermerhorn ML, Times SS, Tseng EE, Wang GJ, Woo YJ. 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
Malaisrie SC, Szeto WY, Halas M, Girardi LN, Coselli JS, Sundt TM 3rd, Chen EP, Fischbein MP, Gleason TG, Okita Y, Ouzounian M, Patel HJ, Roselli EE, Shrestha ML, Svensson LG, Moon MR; AATS Clinical Practice Standards Committee: Adult Cardiac Surgery. 2021 The American Association for Thoracic Surgery expert consensus document: Surgical treatment of acute type A aortic dissection. The Journal of Thoracic and Cardiovascular Surgery. 2021;162(3):735-758.e2. https://doi.org/10.1016/j.jtcvs.2021.04.053
Sultan I, Bianco V, Patel HJ, Arnaoutakis GJ, Di Eusanio M, Chen EP, Leshnower B, Sundt TM, Sechtem U, Montgomery DG, Trimarchi S, Eagle KA, Gleason TG. Surgery for type A aortic dissection in patients with cerebral malperfusion: Results from the International Registry of Acute Aortic Dissection. The Journal of Thoracic and Cardiovascular Surgery. 2021;161(5):1713-1720.e1. https://doi.org/10.1016/j.jtcvs.2019.11.003
Gomibuchi T, Seto T, Naito K, Chino S, Mikoshiba T, Komatsu M, Tanaka H, Ichimura H, Yamamoto T, Nakahara K, Ohashi N, Fuke M, Wada Y, Okada K. Strategies to improve outcomes for acute type A aortic dissection with cerebral malperfusion. European Journal of Cardio-Thoracic Surgery. 2021;59(3):666-673. https://doi.org/10.1093/ejcts/ezaa376
Sultan I, Aranda-Michel E, Bianco V, Kilic A, Habertheuer A, Brown JA, Navid F, Gleason TG. Outcomes of Carotid Artery Replacement With Total Arch Reconstruction for Type A Aortic Dissection. The Annals of Thoracic Surgery. 2021;112(4):1235-1242. https://doi.org/10.1016/j.athoracsur.2020.09.043
Evangelista A, Isselbacher EM, Bossone E, Gleason TG, Eusanio MD, Sechtem U, Ehrlich MP, Trimarchi S, Braverman AC, Myrmel T, Harris KM, Hutchinson S, O’Gara P, Suzuki T, Nienaber CA, Eagle KA; IRAD Investigators. Insights From the International Registry of Acute Aortic Dissection: A 20-Year Experience of Collaborative Clinical Research. Circulation. 2018;137(17):1846-1860. https://doi.org/10.1161/CIRCULATIONAHA.117.031264
Iannacone EM, Lau C, Jr Soletti G, Olaria RP, Harik L, Dimagli A, Girardi LN. Aortic valve-sparing root replacement or Bentall? Annals of Cardiothoracic Surgery. 2023;12(3):168-178. https://doi.org/10.21037/acs-2022-avs1-170
Boldyrev SYu, Rossokha OA, Barbukhatti KO, Porkhanov VA. Reimplantation of the aortic valve using the Kuban Cuff technique in patients with ascending aortic aneurysm and aortic insufficiency. Circulation Pathology and Cardiac Surgery. 2016;20(2):17-25. (In Russ.). https://doi.org/10.21688/1681-3472-2016-2-17-25

Close metadata