mossjМосковский хирургический журналMoscow Surgical Journal2072-3180ООО «ПРОФИЛЬ – 2С»10.17238/issn2072-3180.2021.1.118-123mossj-464Research ArticleКЛИНИЧЕСКИЕ СЛУЧАИCLINICAL CASECLINICAL CASE OF MULTIDISCIPLINARY APPROACH TO TREATMENT OF ANEURYSM OF THE AORTIC ROOT, ASCENDING AND INFRARENAL AORTAhttps://orcid.org/0000-0003-4204-8865ShumakovD. V.

Shumakov Dmitry Valerievich, MD, PhD, professor, corresponding member RAS, Head

Schepkina str., 61/2, Moscow, 129110

sdvtranspl@rambler.ruhttps://orcid.org/0000-0001-7087-5441ZybinD. I.

Zybin Dmitry Igorevich, MD, PhD

Schepkina str., 61/2, Moscow, 129110

poison1983@inbox.ruhttps://orcid.org/0000-0002-0488-0784VaschenkoA. V.

Vashchenko Anton Vasilievich, MD, PhD, Department head of the Angiography

Schepkina str., 61/2, Moscow, 129110

anvashchenko@yandex.ruhttps://orcid.org/0000-0002-2778-4699LarkovR. N.

Larkov Roman Nikolaevich, Doctor of Chemistry, Department head of the Vascular surgery and CHD

Schepkina str., 61/2, Moscow, 129110

romanlar@rambler.ruhttps://orcid.org/0000-0002-6074-1201AgafonovE. G.

Agafonov Ievgeniy Gennadevich, MD, Researcher

Schepkina str., 61/2, Moscow, 129110

agafonov.cardiacsurger@mail.ruhttps://orcid.org/0000-0002-0316-8410PopovM. A.

Popov Mikhail Alexandrovich, MD, Researcher

Schepkina str., 61/2, Moscow, 129110

popovcardio88@mail.ruhttps://orcid.org/0000-0003-2904-5213DontsovV. V.

Dontsov Vladislav Viktorovich, MD, Researcher

Schepkina str., 61/2, Moscow, 129110

vvdontsov@yandex.ruDepartment of Cardiac Surgery Moscow Regional Research and Clinical Institute named after M.F. Vladimirskii (MONIKI)Russian Federation20212305202101118123Copyright © Shumakov D.V., Zybin D.I., Vaschenko A.V., Larkov R.N., Agafonov E.G., Popov M.A., Dontsov V.V., 20212021Shumakov D.V., Zybin D.I., Vaschenko A.V., Larkov R.N., Agafonov E.G., Popov M.A., Dontsov V.V.Shumakov D.V., Zybin D.I., Vaschenko A.V., Larkov R.N., Agafonov E.G., Popov M.A., Dontsov V.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.mossj.ru/jour/article/view/464

One of the most difficult and rapidly developing areas of cardiovascular surgery is aortic surgery. In recent years, surgery of the combined pathology of the aorta has been actively developing, as well as reconstructive surgery of the aortic root and aortic valve. Today in case of ascending aorta aneurysm with aortic insufficiency and the absence of morphological changes of aortic valve leaflets, surgeons try to make the different types of Valve-Preserving Surgery. The progress achieved in endovascular treatments for aortic pathology has made it possible to reduce surgical mortality and improve long-term results of the abdominal aortic aneurysms treatment.In our clinical case taking into account the general severity of the patient's condition and the high risks of simultaneous surgery, the tactics of two-stage surgical treatment was chosen. The first stage is the ascending aorta prosthetics with preservation of the native valve, the second stage is endovascular treatment of the infrarenal aorta.Conclusion. This work demonstrates the successful clinical experience of a multidisciplinary approach to two-stage treatment of a patient with root and ascending aortic aneurysm with aortic valve insufficiency and infrarenal aortic aneurysm.

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The authors declare that there are no conflicts of interest present.