cardiotomskСибирский журнал клинической и экспериментальной медициныSiberian Journal of Clinical and Experimental Medicine2713-29272713-265XTSU publishing10.29001/2073-8552-2015-30-2-60-64cardiotomsk-168Research ArticleКЛИНИЧЕСКИЕ ИССЛЕДОВАНИЯCLINICAL STUDIESГибридная хирургия дуги аортыHybrid surgery of the aortic archКозловБорис НиколаевичKozlovB. N.bnkozlov@yandex.ruПанфиловДмитрий СергеевичPanfilovD. S.Pand2006@yandex.ruЗавадовскийКонстантин ВалерьевичZavadovskyK. V.konstz@cardio-tomsk.ruСаушкинВиктор ВячеславовичSaushkinV. V.vitversus@gmail.comКузнецовМихаил СергеевичKuznetsovM. S.kms@cardio.tsu.ruНасрашвилиГеоргий ГивиевичNasrashviliG. G.ngg5@yandex.ruАндрияноваАнна ВладимировнаAndriyanovaA. V.andriyanovaann@mail.ruШипулинВладимир МитрофановичShipulinV. M.shipulin@cardio.tsu.ruФедеральное государственное бюджетное научное учреждение "Научно-исследовательский институт кардиологии"РоссияFederal State Budgetary Scientific Institution "Research Institute for Cardiology"Russian Federation2015060920163026064Copyright © Козлов Б.Н., Панфилов Д.С., Завадовский К.В., Саушкин В.В., Кузнецов М.С., Насрашвили Г.Г., Андриянова А.В., Шипулин В.М., 20162016Козлов Б.Н., Панфилов Д.С., Завадовский К.В., Саушкин В.В., Кузнецов М.С., Насрашвили Г.Г., Андриянова А.В., Шипулин В.М.Kozlov B.N., Panfilov D.S., Zavadovsky K.V., Saushkin V.V., Kuznetsov M.S., Nasrashvili G.G., Andriyanova A.V., Shipulin V.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.sibjcem.ru/jour/article/view/168

Цель: расширить показания для применения гибридного стент-графта “E-vita open plus”. Оперативное лечение грудной аорты, используя гибридный стент-графт “E-vita open plus”, демонстрирует хорошие результаты у пациентов с острым, хроническим расслоением аорты, посттравматической ложной аневризмой, синдромом “shaggy aorta”. Имплантация гибридного стент-графта “E-vita open plus” показана при расслоении, аневризмах аорты, синдроме “shaggy aorta”, посттравматической ложной аневризме и позволяет получить хорошие клинические результаты.

The aim of the study was to extend the indications for the E-vita open plus hybrid stent graft. Surgical treatment of thoracic aorta with the E-vita open plus hybrid stent graft demonstrates the good results in patients with acute and chronic aortic dissection, posttraumatic false aneurysm, and “shaggy aorta” syndrome. Implantation of the E-vita open plus hybrid stent graft is indicated in aortic dissection, aortic aneurisms, “shaggy aorta” syndrome, and posttraumatic false aneurysm and provides good clinical results.

грудная аортааневризма аортырасслоение аортысиндром “shaggy aorta”посттравматическая ложная аневризма аортызамороженный хобот слонаE-vita open plusthoracic aortaaortic dissection“shaggy aorta” syndromeposttraumatic false aneurysmfrozen elephant trunk procedureE-vita open plusReferencesSchoenhoff F.S., Schmidli J., Eckstein F.S. et al. The frozen elephant trunk: An interesting hybrid endovascular-surgical technique to treat complex pathologies of the thoracic aorta // J. Vasc. Surg. - 2007. - Vol. 45. - P. 597-599.Schoenhoff F.S., Schmidli J., Eckstein F.S. et al. The frozen elephant trunk: An interesting hybrid endovascular-surgical technique to treat complex pathologies of the thoracic aorta // J. Vasc. Surg. - 2007. - Vol. 45. - P. 597-599.Kokotsakis J., Anagnostakou V., Kratimenos T. et al. Frozen Elephant Trunk: a technique which can be offered in complex pathology to fix the whole aorta in one setting [Electronic resource] // J. of Cardiothorac. Surgery. - 2011. - Vol. 6. - P. 66 - URL: http://www.cardiothoracicsurgery.org/content/6/1/66 (дата обращения 25.03.2015).Kokotsakis J., Anagnostakou V., Kratimenos T. et al. Frozen Elephant Trunk: a technique which can be offered in complex pathology to fix the whole aorta in one setting [Electronic resource] // J. of Cardiothorac. Surgery. - 2011. - Vol. 6. - P. 66 - URL: http://www.cardiothoracicsurgery.org/content/6/1/66 (дата обращения 25.03.2015).Damberg A., Schalte G., Autschbach R. et al. Safety and pitfalls in frozen elephant trunk implantation // Ann. Cardiothorac. Surg. - 2013. - Vol. 2(5). - P. 669-676.Damberg A., Schalte G., Autschbach R. et al. Safety and pitfalls in frozen elephant trunk implantation // Ann. Cardiothorac. Surg. - 2013. - Vol. 2(5). - P. 669-676.Jakob H. Frozen elephant trunk in acute type I dissection - a personal view // Ann. Cardiothorac. Surg. - 2013. - Vol. 2(5). -P. 640-641.Jakob H. Frozen elephant trunk in acute type I dissection - a personal view // Ann. Cardiothorac. Surg. - 2013. - Vol. 2(5). -P. 640-641.Hagan P.G., Nienaber C.A., Isselbacher E.M. et al. The international registry of acute aortic dissection (IRAD): new insights into an old disease // JAMA. - 2000. - Vol. 283(7). - P. 897-903.Hagan P.G., Nienaber C.A., Isselbacher E.M. et al. The international registry of acute aortic dissection (IRAD): new insights into an old disease // JAMA. - 2000. - Vol. 283(7). - P. 897-903.Criado F.J. Aortic dissection. A 250-year perspective // Texas Heart Institute Journal. - 2011. - Vol. 38(6). - P. 694-700.Criado F.J. Aortic dissection. A 250-year perspective // Texas Heart Institute Journal. - 2011. - Vol. 38(6). - P. 694-700.Di Eusanio M., Pantaleo A., Murana G. et al. Frozen elephant trunk surgery - the Bologna’s experience // Ann. Cardiothorac. Surg. - 2013. - Vol. 2(5). - P. 597-605.Di Eusanio M., Pantaleo A., Murana G. et al. Frozen elephant trunk surgery - the Bologna’s experience // Ann. Cardiothorac. Surg. - 2013. - Vol. 2(5). - P. 597-605.Leontyev S., Misfeld M., Daviewala P. Early- and medium-term results after aortic arch replacement with frozen elephant trunk techniques - a single center study // Ann. Cardiothorac. Surg. -2013. - Vol. 2(5). - P. 606-611.Leontyev S., Misfeld M., Daviewala P. Early- and medium-term results after aortic arch replacement with frozen elephant trunk techniques - a single center study // Ann. Cardiothorac. Surg. -2013. - Vol. 2(5). - P. 606-611.Tian D.H., Wan B., Di Eusanio M. et al. A systematic review and meta-analysis on the safety and efficacy of the frozen elephant trunk technique in aortic arch surgery // Ann. Cardiothorac. Surg. - 2013. - Vol. 2(5). - P. 581-591.Tian D.H., Wan B., Di Eusanio M. et al. A systematic review and meta-analysis on the safety and efficacy of the frozen elephant trunk technique in aortic arch surgery // Ann. Cardiothorac. Surg. - 2013. - Vol. 2(5). - P. 581-591.Kourliouros A., Vecht J., Kakouros N. et al. Frozen elephant trunk as an effective alternative to open and hybrid two-stage procedures for complex aortic disease // Hellenic J. Cardiol. - 2011. - Vol. 52. - P. 337-344.Kourliouros A., Vecht J., Kakouros N. et al. Frozen elephant trunk as an effective alternative to open and hybrid two-stage procedures for complex aortic disease // Hellenic J. Cardiol. - 2011. - Vol. 52. - P. 337-344.Tsagakis K., Dohle D., Benedik J. et al. Overall Essen’s experience with the E-vita open hybrid stent graft system and evolution of the surgical technique // Ann. Cardiothorac. Surg. - 2013. -Vol. 2(5). - P. 612-620.Tsagakis K., Dohle D., Benedik J. et al. Overall Essen’s experience with the E-vita open hybrid stent graft system and evolution of the surgical technique // Ann. Cardiothorac. Surg. - 2013. -Vol. 2(5). - P. 612-620.Esposito G., Bichi S. Pitfalls in the hybrid approach of type B aortic dissection with arch involvement // Ann. Cardiothorac. Surg. - 2014. - Vol. 3(4). - P. 431-435.Esposito G., Bichi S. Pitfalls in the hybrid approach of type B aortic dissection with arch involvement // Ann. Cardiothorac. Surg. - 2014. - Vol. 3(4). - P. 431-435.Di Eusanio M., Pantaleo A., Cefarelli M. et al. Frozen elephant trunk surgery in type B aortic dissection // Ann. Cardiothorac. Surg. - 2014. - Vol. 3(4). - P. 400-402.Di Eusanio M., Pantaleo A., Cefarelli M. et al. Frozen elephant trunk surgery in type B aortic dissection // Ann. Cardiothorac. Surg. - 2014. - Vol. 3(4). - P. 400-402.Di Bartolomeo R., Di Marco L., Armaro A. et al. Treatment of complex disease of the thoracic aorta: the frozen elephant trunk technique with the E-vita open prosthesis // Eur. J. Cardiothorac. Surg. - 2009. - Vol. 35. - P 671-676.Di Bartolomeo R., Di Marco L., Armaro A. et al. Treatment of complex disease of the thoracic aorta: the frozen elephant trunk technique with the E-vita open prosthesis // Eur. J. Cardiothorac. Surg. - 2009. - Vol. 35. - P 671-676.Borst H.G., Walterbusch G., Schaps D. Extensive aortic replacement using “elephant trunk” prosthesis // Thorac. Cardiovasc. Surg. - 1983. - Vol. 31. - P 37-40.Borst H.G., Walterbusch G., Schaps D. Extensive aortic replacement using “elephant trunk” prosthesis // Thorac. Cardiovasc. Surg. - 1983. - Vol. 31. - P 37-40.Preventza O., Al-Najjar R., LeMaire S.A. et al. Total arch replacement with frozen elephant trunk technique // Ann. Cardiothorac. Surg. - 2013. - Vol. 2(5). - P. 649-652.Preventza O., Al-Najjar R., LeMaire S.A. et al. Total arch replacement with frozen elephant trunk technique // Ann. Cardiothorac. Surg. - 2013. - Vol. 2(5). - P. 649-652.Hollier L.H., Kazmier F.J., Ochsner J. et al. “Shaggy” aorta syndrome with atheromatous embolization to visceral vessels // Ann. Vasc. Surg. - 1991. - Vol. 5. - P. 439-444.Hollier L.H., Kazmier F.J., Ochsner J. et al. “Shaggy” aorta syndrome with atheromatous embolization to visceral vessels // Ann. Vasc. Surg. - 1991. - Vol. 5. - P. 439-444.Hori D., Yuri K., Noguchi K. Case report: successful endovascular treatment of saccular thoracic aneurysm with “shaggy aorta” // Ann. Thorac. Cardiovasc. Surg. - 2012. - Vol. 18. - P. 536539.Hori D., Yuri K., Noguchi K. Case report: successful endovascular treatment of saccular thoracic aneurysm with “shaggy aorta” // Ann. Thorac. Cardiovasc. Surg. - 2012. - Vol. 18. - P. 536539.Illuminati G., Bresdola L., D’Urso A. Simultaneous stent grafting of the descending aorta and aortofemoral bypass for “shaggy aorta” syndrome // Can. J. Surg. - 2007. - Vol. 50(5). -P. E1-E2.Illuminati G., Bresdola L., D’Urso A. Simultaneous stent grafting of the descending aorta and aortofemoral bypass for “shaggy aorta” syndrome // Can. J. Surg. - 2007. - Vol. 50(5). -P. E1-E2.Igarashi T., Takase S., Satokawa H. et al. Thoracic endovascular aortic repair with visceral arteries intermittent clamp technique for descending thoracic aortic aneurysm with shaggy aorta // Ann. Vasc. Surg. - 2013. - Vol. 27(7). - P. 974.e11-974.e14.Igarashi T., Takase S., Satokawa H. et al. Thoracic endovascular aortic repair with visceral arteries intermittent clamp technique for descending thoracic aortic aneurysm with shaggy aorta // Ann. Vasc. Surg. - 2013. - Vol. 27(7). - P. 974.e11-974.e14.Scali S., Feezor R., Chang C. et al. Safety of elective management of synchronous aortic disease with simultaneous thoracic and aortic stent graft placement // J. Vasc. Surg. - 2012. - Vol. 56(4). - P. 957-964.Scali S., Feezor R., Chang C. et al. Safety of elective management of synchronous aortic disease with simultaneous thoracic and aortic stent graft placement // J. Vasc. Surg. - 2012. - Vol. 56(4). - P. 957-964.Jakimowicz T., Rowinski O., Galazka Z. et al. Endovascular repair of traumatic thoracic aortic rupture: a single centre experience // Kardiologia Polska. - 2013. - Vol. 71(12). - P. 1273-1278.Jakimowicz T., Rowinski O., Galazka Z. et al. Endovascular repair of traumatic thoracic aortic rupture: a single centre experience // Kardiologia Polska. - 2013. - Vol. 71(12). - P. 1273-1278.Li P.S., Tsai C.L., Lin T.C. et al. Endovascular treatment for traumatic thoracic aortic pseudoaneurysm: a case report [Электронный ресурс] // J. Cardiothorac. Surg. - 2013. - Vol. 8(36). - P. 1-4 - URL: http://www.cardiothoracicsurgery.org/content/8/1/36 (дата обращения 01.04.2015).Li P.S., Tsai C.L., Lin T.C. et al. Endovascular treatment for traumatic thoracic aortic pseudoaneurysm: a case report [Электронный ресурс] // J. Cardiothorac. Surg. - 2013. - Vol. 8(36). - P. 1-4 - URL: http://www.cardiothoracicsurgery.org/content/8/1/36 (дата обращения 01.04.2015).Nagy K., Fabian T., Rodman G. et al. Guidelines for the diagnosis and management of blunt aortic injury. An east practice management guidelines workgroup [Электронный ресурс] // Eastern association for the surgery of trauma. - URL: http://www.east.org (дата обращения 05.04.2015).Nagy K., Fabian T., Rodman G. et al. Guidelines for the diagnosis and management of blunt aortic injury. An east practice management guidelines workgroup [Электронный ресурс] // Eastern association for the surgery of trauma. - URL: http://www.east.org (дата обращения 05.04.2015).Zhou W., Zhou W., Qiu J. Endovascular repair of an aortic arch pseudoaneurysm with double chimney stent grafts: a case report [Электронный ресурс] // J. of Cardiothorac. Surg. - 2013. -Vol. 8(80). - P. 1-5. - URL: http://www.cardiothoracicsurgery.org/content/8/1/80 (дата обращения 05.04.2015).Zhou W., Zhou W., Qiu J. Endovascular repair of an aortic arch pseudoaneurysm with double chimney stent grafts: a case report [Электронный ресурс] // J. of Cardiothorac. Surg. - 2013. -Vol. 8(80). - P. 1-5. - URL: http://www.cardiothoracicsurgery.org/content/8/1/80 (дата обращения 05.04.2015).Kokotsakis J., Tassopoulos D., Ttofi J. et al. Surgical repair of distal arch psendoaneurysm from ruptured penetrating aortic ulcer with the frozen elephant trunk technique [Электронный ресурс] // J. of Cardiothorac. Surg. - 2014. - Vol. 9(68). -P. 1-4. - URL: http://www.cardiothoracicsurgery.org/content/9/1/68 (дата обращения 05.04.2015).Kokotsakis J., Tassopoulos D., Ttofi J. et al. Surgical repair of distal arch psendoaneurysm from ruptured penetrating aortic ulcer with the frozen elephant trunk technique [Электронный ресурс] // J. of Cardiothorac. Surg. - 2014. - Vol. 9(68). -P. 1-4. - URL: http://www.cardiothoracicsurgery.org/content/9/1/68 (дата обращения 05.04.2015).

The authors declare that there are no conflicts of interest present.