ROLE OF "HYBRID" OPERATION IN THE SURGICAL MANAGEMENT OF TYPE I AORTIC DISSECTION. EARLY EXPERIENCE

Sorokin V.A.
Heart Institute of Singapore,
National University Hospital,
Cardiac-Thoracic and Vascular Surgery Center,
Singapore

Persistent or recurrent aortic dissection after successful surgical treatment of acute type I aortic dissection is well-known complication. Persistence of the false lumen in the arch or descending aorta can result in a fatal complication and has an undesirable impact on long term prognosis. Endovascular stenting has showed promising result for patients with type III aortic dissection. The role of stenting in management of complex persistent aortic dissection is not well established. In the article we reviewed our early result of combine surgical and endovascular treatment of persistent type I aortic dissection. In our series we did not have mortality. Analysis of early and long term postoperative period showed promising result.

KEY WORDS: type I aortic dissection, surgical treatment, endovascular treatment.

P. 135-141

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