CLINICAL CASE OF A MULTIDISCIPLINARY APPROACH TO THE TREATMENT OF ROOT AND ASCENDING AORTIC ANEURYSMS AND INFRA-RENAL AORTIC ANEURYSMS
D. V. Shumakov,
D. I. Zybin,
A. V. Vashchenko,
R. N. Larkov,
I. G. Agafonov,
M. A. Popov,
V. V. Dontsov https://doi.org/10.17238/issn2072-3180.2021.1.111-117
Abstract
Introduction. One of the most complex and rapidly developing areas in cardiovascular surgery is aortic surgery. In recent years, surgery for combined aortic pathology, as well as reconstructive surgery of the aortic root and aortic valve, has been actively developing. Today, with aneurysm of the ascending aorta with aortic insufficiency and the absence of morphological changes in the aortic valve flaps, they try to resort to various options of valve-preserving operations. The progress achieved in endovascular treatment of aortic pathology has reduced operational mortality and improved the long-term results of treatment of abdominal aortic aneurysms.
Clinical characteristics of the patient. In the described 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 were chosen. The first stage is prosthetics of the ascending aorta with the 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 the two-stage treatment of a patient with aneurysm of the root and ascending aorta with aortic valve insufficiency and aneurysm of the infrarenal aorta.
About the Authors
D. V. Shumakov
M.F. Vladimirsky Moscow State Medical University
Russian Federation
Russian Federation
Shumakov Dmitry Valerievich, MD, professor, corresponding member RAS, Head of the Department of Cardiac and Vascular Surgery
Schepkina str., 61/2, Moscow, 129110
D. I. Zybin
M.F. Vladimirsky Moscow State Medical University
Russian Federation
Russian Federation
Zybin Dmitry Igorevich, PhD in Medicine, Department head of the Cardiac Surgery
Schepkina str., 61/2, Moscow, 129110
A. V. Vashchenko
M.F. Vladimirsky Moscow State Medical University
Russian Federation
Russian Federation
Vashchenko Anton Vasilievich, PhD in Medicine, Department head of the Angiography
Schepkina str., 61/2, Moscow, 129110
R. N. Larkov
M.F. Vladimirsky Moscow State Medical University
Russian Federation
Russian Federation
Larkov Roman Nikolaevich, Doctor of Chemistry, Department head of the Vascular surgery and CHD
Schepkina str., 61/2, Moscow, 129110
I. G. Agafonov
M.F. Vladimirsky Moscow State Medical University
Russian Federation
Russian Federation
Agafonov Ievgeniy Gennadevich, Researcher of the Department of Cardiac Surgery
Schepkina str., 61/2, Moscow, 129110
M. A. Popov
M.F. Vladimirsky Moscow State Medical University
Russian Federation
Russian Federation
Popov Mikhail Alexandrovich, Researcher of the Department of Cardiac Surgery
Schepkina str., 61/2, Moscow, 129110
V. V. Dontsov
M.F. Vladimirsky Moscow State Medical University
Russian Federation
Russian Federation
Dontsov Vladislav Viktorovich, Researcher of the Department of Cardiac Surgery
Schepkina str., 61/2, Moscow, 129110
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For citations:
Shumakov D.V., Zybin D.I., Vashchenko A.V., Larkov R.N., Agafonov I.G., Popov M.A., Dontsov V.V. CLINICAL CASE OF A MULTIDISCIPLINARY APPROACH TO THE TREATMENT OF ROOT AND ASCENDING AORTIC ANEURYSMS AND INFRA-RENAL AORTIC ANEURYSMS. Moscow Surgical Journal. 2021;(1):111-117. (In Russ.) https://doi.org/10.17238/issn2072-3180.2021.1.111-117
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