Д.А. Божко, Ю.М. Чеснов, С.В. Спиридонов, С.А. Курганович
ГУ РНПЦ «Кардиология», г. Минск
Разработанный в ГУ РНПЦ «Кардиология» метод экзопротезирования восходящей аорты применен у 93 пациентов. Выполнен анализ ранних и отдаленных результатов лечения. Отмечены небольшое время ишемии и искусственного кровообращения, низкий уровень послеоперационных осложнений, в том числе рестернотомий по поводу кровотечений (3,23 %). По данным эхокардиографии отмечено достоверное уменьшение среднего диаметра восходящей аорты с 45,33 ± 3,12 мм до 36,26 ± 4,09 мм. В отдаленном периоде наблюдения отсутствовало значимое изменение размеров восходящей аорты на всех уровнях, не выявлено быстрого расширения аорты или образования аневризмы, диссекции или разрыва аорты, а также специфических осложнений, таких как эрозия интимы, смещение экзопротеза, кинкинг аорты.
ключевые слова: восходящая аорта, аневризма, расширение аорты, экзопротезирование, наружная аортопластика

для цитирования: Д.А. Божко, Ю.М. Чеснов, С.В. Спиридонов, С.А. Курганови. Экзопротезирование расширенной восходящей аорты при патологии аортального клапана. Неотложная кардиология и кардиооваскулярные риски, 2019, Т. 3, № 2, С. 672–676

Wrapping of the dilated ascending aorta in patients with aortic valve pathology
D.А. Bozhko, Y.М. Chesnov, S.V. Spiridonov, S.А. Kurganovich
The method for ascending aorta wrapping developed at the “Cardiology” Republican Scientific and Practical Centre, Belarus, has been used in the treatment of 93 patients. The analysis of early and long-term treatment results was performed. A short time of ischemia and cardiopulmonary bypass, a low level of postoperative complications, including repeated operations for bleeding (3.23%) were noted. According to echocardiography data, a significant decrease in the average diameter of the ascending aorta, from 45.33 ± 3.12 mm to 36.26 ± 4.09 mm, was marked. In the long-term follow-up period no significant changes in the size of the ascending aorta at all levels were observed; rapid aorta dilatation, aneurysm formation, dissection, aorta rupture, and such complications as uterus erosion, dislocation of the wrap and aortic kinking were also not revealed.
keywords: ascending aorta, aneurism, aorta dilatation, wrapping, external aortoplastic

for references: D.А. Bozhko, Y.М. Chesnov, S.V. Spiridonov, S.А. Kurganovich. Wrapping of the dilated ascending aorta in patients with aortic valve pathology. Neotlozhnaya kardiologiya i kardioovaskulyarnye riski [Emergency cardiology and cardiovascular risks], 2019, vol. 3, no. 2, pp. 672–677

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