CLINICAL CASE OF MULTIDISCIPLINARY APPROACH TO TREATMENT OF ANEURYSM OF THE AORTIC ROOT, ASCENDING AND INFRARENAL AORTA
https://doi.org/10.17238/issn2072-3180.2021.1.118-123
Аннотация
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.
Об авторах
D. V. ShumakovРоссия
Shumakov Dmitry Valerievich, MD, PhD, professor, corresponding member RAS, Head
Schepkina str., 61/2, Moscow, 129110
D. I. Zybin
Россия
Zybin Dmitry Igorevich, MD, PhD
Schepkina str., 61/2, Moscow, 129110
A. V. Vaschenko
Россия
Vashchenko Anton Vasilievich, MD, PhD, Department head of the Angiography
Schepkina str., 61/2, Moscow, 129110
R. N. Larkov
Россия
Larkov Roman Nikolaevich, Doctor of Chemistry, Department head of the Vascular surgery and CHD
Schepkina str., 61/2, Moscow, 129110
E. G. Agafonov
Россия
Agafonov Ievgeniy Gennadevich, MD, Researcher
Schepkina str., 61/2, Moscow, 129110
M. A. Popov
Россия
Popov Mikhail Alexandrovich, MD, Researcher
Schepkina str., 61/2, Moscow, 129110
V. V. Dontsov
Россия
Dontsov Vladislav Viktorovich, MD, Researcher
Schepkina str., 61/2, Moscow, 129110
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Рецензия
Для цитирования:
Shumakov D.V., Zybin D.I., Vaschenko A.V., Larkov R.N., Agafonov E.G., Popov M.A., Dontsov V.V. CLINICAL CASE OF MULTIDISCIPLINARY APPROACH TO TREATMENT OF ANEURYSM OF THE AORTIC ROOT, ASCENDING AND INFRARENAL AORTA. Московский хирургический журнал. 2021;(1):118-123. https://doi.org/10.17238/issn2072-3180.2021.1.118-123