Journal «Angiology and Vascular Surgery» • 

2015 • VOLUME 21 • №4

Open stenting of thoracic aorta in combination with the borst operation

Sirota D.A., Chernyavskii A.M., Alsov S.A., Khvan D.S., Lyashenko M.M., Surmava A.E.

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

Described herein in is a clinical case report concerning combined method of surgical treatment for chronic DeBakey type I aortic dissection: prosthetic repair of the ascending aorta and aortic arch according to Borst’s technique in combination with open stenting of the descending aorta with the "Djumbodis" uncoated metal stent. This technique makes it possible to achieve expanding of the vascular prosthesis in the descending portion, thus increasing the probability of thrombosis of the false channel at this level and, consequently, to decrease the probability of further dilatation of the thoracic aorta, which is one of the main purposes in aortic reconstruction. Besides, the use of this technique does not exclude a second stage of surgical treatment, both within the framework of the classical surgical technology and with the use of endovascular methods.

KEY WORDS: chronic DeBakey type I aortic dissection, Borst’s operation, “Djumbodis” stent, open operation, endovascular intervention.

P. 94

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