The first results of surgical reconstruction of the aorta using the domestic aortic hybrid stent-graft MedEng
https://doi.org/10.29001/2073-8552-2021-36-1-101-107
Abstract
Objective. To analyze the early clinical results of frozen elephant trunk repair using the domestic hybrid stent-graft MedEng (Penza, Russia).
Material and Methods. From September, 2019 to September, 2020, a total of 12 patients underwent surgical reconstruction of the thoracic aorta with an implantation of the MedEng hybrid stent-graft. All interventions were performed under conditions of moderate hypothermia (25–28 °C) and antegrade unilateral cerebral perfusion through the brachiocephalic trunk.
Results. The technical success of the operation was achieved in 100% of cases. In the early postoperative period, there were no cases of acute cerebrovascular accidents, episodes of delirium, and paraplegia. There was no need for a resternotomy for bleeding. The extended respiratory support was required in two cases (16.7%). One patient (8.3%) required renal replacement therapy for acute renal injury. Hospital mortality rate reached 16.7%.
Conclusion. Surgical reconstruction of the thoracic aorta using the MedEng hybrid stent-graft was characterized by satisfactory clinical results in the early postoperative period.
About the Authors
B. N. Kozlov
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences
Russian Federation
Russian Federation
Dr. Sci. (Med.), Head of the Department of Cardiovascular Surgery; Professor, Department of Hospital Surgery with the Course of Cardiovascular Surgery, Siberian State Medical University
111a, Kievskaya str., Tomsk, 634012, Russian Federation
D. S. Panfilov
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences
Russian Federation
Russian Federation
Dr. Sci. (Med.), Research Scientist, Department of Cardiovascular Surgery
111a, Kievskaya str., Tomsk, 634012, Russian Federation
D. V. Manvelyan
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences
Russian Federation
Russian Federation
Cand. Sci. (Med.), Junior Research Scientist, Department of Cardiovascular Surgery
111a, Kievskaya str., Tomsk, 634012, Russian Federation
E. L. Sonduev
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences
Russian Federation
Russian Federation
Graduate Student, Department of Cardiovascular Surgery
111a, Kievskaya str., Tomsk, 634012, Russian Federation
V. V. Zatolokin
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences
Russian Federation
Russian Federation
Cand. Sci. (Med.), Research Scientist, Department of Cardiovascular Surgery
111a, Kievskaya str., Tomsk, 634012, Russian Federation
K. A. Petlin
Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences
Russian Federation
Russian Federation
Cand. Sci. (Med.), Physician, Department of Cardiovascular Surgery
111a, Kievskaya str., Tomsk, 634012, Russian Federation
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Review
For citations:
Kozlov B.N., Panfilov D.S., Manvelyan D.V., Sonduev E.L., Zatolokin V.V., Petlin K.A. The first results of surgical reconstruction of the aorta using the domestic aortic hybrid stent-graft MedEng. Siberian Journal of Clinical and Experimental Medicine. 2021;36(1):102-107. (In Russ.) https://doi.org/10.29001/2073-8552-2021-36-1-101-107
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