Vol. 17 No. 2 (2013)
ANESTHESIOLOGY & RESUSCITATION

The analyze of neurological complications after aortic arch reconstruction in patients with proximal aortic dissection

PDF (Русский)
  • A. Chernyavskiy,
  • S. Alsov,
  • M. Lyashenko,
  • D. Sirota,
  • D. Khvan,
  • T. Vinogradova,
  • S. Zakharov,
  • V. Lomivorotov
A. Chernyavskiy
Academician E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
S. Alsov
Academician E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
M. Lyashenko
Academician E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
D. Sirota
Academician E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
D. Khvan
Academician E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
T. Vinogradova
Academician E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
S. Zakharov
Academician E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
V. Lomivorotov
Academician E.N. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
DOI: https://doi.org/10.21688/1681-3472-2013-2-35-40

Published 2013-05-15

Keywords

  • AORTIC DISSECTION,
  • STROKE,
  • AORTIC ARCH

How to Cite

Chernyavskiy, A., Alsov, S., Lyashenko, M., Sirota, D., Khvan, D., Vinogradova, T., Zakharov, S., & Lomivorotov, V. (2013). The analyze of neurological complications after aortic arch reconstruction in patients with proximal aortic dissection. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 17(2), 35–40. https://doi.org/10.21688/1681-3472-2013-2-35-40

Copyright (c) 2013 Chernyavskiy A.M., Alsov S.A., Lyashenko M.M., Sirota D.A., Khvan D.S., Vinogradova T.Ye., Zakharov S.L., Lomivorotov V.V.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

The article analyzes the neurological complications after interventions on the ascending aorta and the aortic arch in dissection I type by De Bakey. Group of authors investigated over a decade of experience in surgery of aortic dissection in both acute and chronic. Authors estimated the incidence of neurological complications after surgical intervention in 124 patients in the early post-operative and long term period. It were studied both qualitative measures (methods of reconstruction of the aortic arch, type of cerebral perfusion, the etiology of the pathological process, comorbidities) and quantitative (the duration of the different stages of surgery, age, height, weight). The analysis revealed that almost all cases of strokes were observed in the older age group and were associated with concomitant occlusive-stenotic arterial lesions caused by Takayasu's syndrome and atherosclerosis, as well as a set of related diseases. Increase in the number of strokes contribute to more complex, and therefore more time-consuming intervention types of reconstruction of the aortic arch. Antegrade perfusion of the brain, to our knowledge, did not have statistically significant advantages over retrograde perfusion or hypothermic circulatory arrest of the brain.
PDF (Русский)

References

  1. Halushka M. // Surg. Pathology Clinics. 2012. V. 5, № 2. P. 417-433.
  2. Crawford E.S., Crawford J.L. Diseases of the aorta including an atlas surgical technique. Baltimore, 1984.
  3. Robert S. Bonser et al. // Journal of the American College of Cardiology. 2011. V. 58, № 24. P. 2455-2474.
  4. Borst H.G., Hainemann M.K., Stone C.D. Surgical treatment of aortic dissection. Livingstone Inc., 1996.
  5. Чернявский А.М., Марченко А.В., Альсов С.А. // Патология кровообращения и кардиохирургия. 2005. № 1. С. 8-14.
  6. Hyuk Ahn, Kwhanmien Kim et al. // Cardiovascular Surgery. 1997. V. 5, № 1. P. 104-111.
  7. Fleck T., Czerny M., Hutschala D. et al. // Ann. Thorac. Surg. 2003. V. 76. P. 1198-1202.
  8. Geirsson A., Bavaria J., Swarr D. et al. // Ann. Thorac. Surg. 2007. V. 84. P. 1955-1964.
  9. Чернявский А.М., Аверко Н.Н., Антропова Т.В и др. // Патология кровообращения и кардиохирургия. 2008. № 1. С. 54-60.
  10. Jong-Min Song, Sung-Doo Kim et al. // J.American College Cardiology. 2007. V. 50, № 8. P. 799-804.
  11. Easo J., Weigang E., Hоlzl P. et al. // J. Thorac. Cardiovasc. Surg. 2012. V. 144, № 3. P. 617-623.
  12. Караськов А.М., Чернявский А.М., Порханов В.А. Реконструктивная хирургия корня аорты. Новосибирск, 2006.
  13. Morimoto N., Okada K., Okita Y. // J. Thorac. Cardiovasc. Surg. 2011. V. 142, № 6. P. 1540-1544.
  14. Jakob H., Tsagakis K., Tossios P. et al. // Ann. Thorac. Surg. 2008. V. 86. P. 95-102.
  15. Pochettino A., Brinkman W.T., Moeller P. et al. // Ann. Thorac. Surg. 2009. V. 88. P. 482-490.
  16. Moon M.R. // Surgical Clinics North America. 2009. V. 89, № 4. P. 869-893.
  17. Fleck T., Czerny M., Hutschala D. et al. // Ann. Thorac. Surg. 2003. V. 76. P. 1198-1202.
  18. Immer F., Lippeck C., Barmettler H.B. et al. // Circulation. 2004. V. 110, № 2. P. 250-255.
  19. Kirsch M., Soustelle C., Houel R. et al. // J. Thorac. Cardiovasc. Surg. 2002. V. 123. P. 318-325.
  20. Driever R., Botsios S., Schmitz E. et al. // Cardiovasc. Surg. 2003. V. 11. P. 265-272.
  21. Yun K., Glower D., Miller D. et al. // J. Thorac. Cardiovasc. Surg. 1991. V. 102. P. 355-370.