Journal «Angiology and Vascular Surgery» • 

2016 • VOLUME 22 • №3

Four-year follow up of the results of the first in Russia use of a hybrid prosthesis for surgical management of type I aortic dissection

Chernyavsky A.M., Lyashenko M.M., Alsov S.A., Sirota D.A., Khvan D.S.

Centre for Surgery of the Aorta, Coronary and Peripheral Arteries, Novosibirsk Scientific Research Institute for Circulatory Pathology named after Academician E.N. Meshalkin under the RF Public Health Ministry, Novosibirsk, Russia

Presented in the articles is a case report of successfully using hybrid prosthesis "E-vita Open plus" (Jotec) in surgical treatment of a female patient presenting with type I chronic aortic dissection according to the DeBakey classification. Careful consideration is given to an uncomplicated course of the early and remote postoperative periods in the first-in-Russia patient to undergo surgery with the use of a new-type prosthesis. The control examinations carried out 6, 12, 28 and 39 months after the operation were unequivocally indicative of complete thrombosis of the false canal of the aorta at the level of the prosthesis and lack of signs of aortic diameter growth below the zone of the surgical intervention. An example of successful treatment of DeBakey type I aortic dissection may be regarded as an important stage in the development of more effective methods of surgery for the severe pathology concerned.

KEY WORDS: thoracoabdominal aorta, aneurysm, aortic dissection, “frozen elephant trunk” technique, stent graft, hybrid surgery.

P. 125

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