Change of descending aortic false lumen after repair of type I dissection by De Bakey

Group of authors analyzes the state of thoracoabdominal aorta after reconstruction of ascending and arch of aorta. Currently, there is no single point of view on the amount of interference in the ascending part and the aortic arch in preventing complications of thoracoabdominal aorta. In a group of...

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Main Authors: А. М. Чернявский, С. А. Альсов, М. М. Ляшенко, Д. А. Сирота, Д. С. Хван
Format: Article
Language:English
Published: Meshalkin National Medical Research Center 2015-10-01
Series:Патология кровообращения и кардиохирургия
Subjects:
Online Access:http://journalmeshalkin.ru/index.php/heartjournal/article/view/123
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author А. М. Чернявский
С. А. Альсов
М. М. Ляшенко
Д. А. Сирота
Д. С. Хван
author_facet А. М. Чернявский
С. А. Альсов
М. М. Ляшенко
Д. А. Сирота
Д. С. Хван
author_sort А. М. Чернявский
collection DOAJ
description Group of authors analyzes the state of thoracoabdominal aorta after reconstruction of ascending and arch of aorta. Currently, there is no single point of view on the amount of interference in the ascending part and the aortic arch in preventing complications of thoracoabdominal aorta. In a group of 46 patients the authors by means of issuing a series of multislice computed tomography, performed at different times after surgery and examine the status thoracoabdominal aorta at different levels. Based on the results of the study revealed that, under the first phase of the surgery department at the ascending aorta and arch over her bundle for DeBakey type I, there is no need to take in a false lumen in the descending thoracic aorta, as it not only does not reduce or slow dilation thoracoabdominal aorta in the long-term, but it is a more rapid increase in comparison with patients with a false lumen was. Saving or suturing the false lumen does not affect the incidence of thrombosis in late postoperative period, and therefore, closure of a false channel in the first phase of intervention is inappropriate.
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spelling doaj.art-1a9f12e595824a0c82d68c04359ec6a82023-09-02T08:42:26ZengMeshalkin National Medical Research CenterПатология кровообращения и кардиохирургия1681-34722500-31192015-10-01172293410.21688/1681-3472-2013-2-29-34843Change of descending aortic false lumen after repair of type I dissection by De BakeyА. М. Чернявский0С. А. Альсов1М. М. Ляшенко2Д. А. Сирота3Д. С. Хван4ФГБУ «ННИИПК им. акад. Е.Н. Мешалкина» Минздрава РоссииФГБУ «ННИИПК им. акад. Е.Н. Мешалкина» Минздрава РоссииФГБУ «ННИИПК им. акад. Е.Н. Мешалкина» Минздрава РоссииФГБУ «ННИИПК им. акад. Е.Н. Мешалкина» Минздрава РоссииФГБУ «ННИИПК им. акад. Е.Н. Мешалкина» Минздрава РоссииGroup of authors analyzes the state of thoracoabdominal aorta after reconstruction of ascending and arch of aorta. Currently, there is no single point of view on the amount of interference in the ascending part and the aortic arch in preventing complications of thoracoabdominal aorta. In a group of 46 patients the authors by means of issuing a series of multislice computed tomography, performed at different times after surgery and examine the status thoracoabdominal aorta at different levels. Based on the results of the study revealed that, under the first phase of the surgery department at the ascending aorta and arch over her bundle for DeBakey type I, there is no need to take in a false lumen in the descending thoracic aorta, as it not only does not reduce or slow dilation thoracoabdominal aorta in the long-term, but it is a more rapid increase in comparison with patients with a false lumen was. Saving or suturing the false lumen does not affect the incidence of thrombosis in late postoperative period, and therefore, closure of a false channel in the first phase of intervention is inappropriate.http://journalmeshalkin.ru/index.php/heartjournal/article/view/123РАССЛОЕНИЕ АОРТЫМУЛЬТИСПИРАЛЬНАЯ КОМПЬЮТЕРНАЯ ТОМОГРАФИЯAORTIC DISSECTION
spellingShingle А. М. Чернявский
С. А. Альсов
М. М. Ляшенко
Д. А. Сирота
Д. С. Хван
Change of descending aortic false lumen after repair of type I dissection by De Bakey
Патология кровообращения и кардиохирургия
РАССЛОЕНИЕ АОРТЫ
МУЛЬТИСПИРАЛЬНАЯ КОМПЬЮТЕРНАЯ ТОМОГРАФИЯ
AORTIC DISSECTION
title Change of descending aortic false lumen after repair of type I dissection by De Bakey
title_full Change of descending aortic false lumen after repair of type I dissection by De Bakey
title_fullStr Change of descending aortic false lumen after repair of type I dissection by De Bakey
title_full_unstemmed Change of descending aortic false lumen after repair of type I dissection by De Bakey
title_short Change of descending aortic false lumen after repair of type I dissection by De Bakey
title_sort change of descending aortic false lumen after repair of type i dissection by de bakey
topic РАССЛОЕНИЕ АОРТЫ
МУЛЬТИСПИРАЛЬНАЯ КОМПЬЮТЕРНАЯ ТОМОГРАФИЯ
AORTIC DISSECTION
url http://journalmeshalkin.ru/index.php/heartjournal/article/view/123
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