TWO CASE REPORTS OF SUCCESSFUL CONSERVATIVE TREATMENT OF DISSECTING AORTIC ANEURYSM
https://doi.org/10.29001/2073-8552-2019-34-2-113-117
Abstract
The relevance of this topic is due to the difficulties of diagnosis and management of patients with aortic dissection and the need for the interaction between doctors of different specialties whereas exact algorithm with clearly defined time frame for surgical treatment and overall criteria for choosing between conservative and surgical tactics of treatment in these patients are not currently available. This article presents two clinical cases illustrating the differences in clinical and anamnestic parameters and complexity of treatment of patients with aortic dissection as well as the organization of team work of specialists for the purpose of personalized approach to management of patients with extremely high cardiovascular risk.
About the Authors
A. A. TolmachevaRussian Federation
Postgraduate Student, Department of Faculty Therapy
52, Krasny Prospect, Novosibirsk, 630091, Russian Federation
N. G. Lozhkina
Russian Federation
Dr. Sci. (Med.), Associate Professor, Department of Faculty Therapy
52, Krasny Prospect, Novosibirsk, 630091, Russian Federation
V. A. Kozik
Russian Federation
Postgraduate Student, Department of Faculty Therapy
52, Krasny Prospect, Novosibirsk, 630091, Russian Federation
E. A. Stafeeva
Russian Federation
Postgraduate Student, Department of Faculty Therapy
52, Krasny Prospect, Novosibirsk, 630091, Russian Federation
E. A. Najdena
Russian Federation
Postgraduate Student, Department of Faculty Therapy
52, Krasny Prospect, Novosibirsk, 630091, Russian Federation
M. H. Hasanova
Russian Federation
Assistant Professor, Department of Faculty Therapy
52, Krasny Prospect, Novosibirsk, 630091, Russian Federation
I. Mukaramov
Russian Federation
Postgraduate Student, Department of Faculty Therapy
52, Krasny Prospect, Novosibirsk, 630091, Russian Federation
V. B. Barbarich
Russian Federation
Head of the Regional Vascular Center ‘City Clinical Hospital No. 1, Head of the Department of Emergency Cardiology as Part of the Regional Vascular Center
52, Krasny Prospect, Novosibirsk, 630091, Russian Federation
6, Zalessky st., Novosibirsk, 630047, Russian Federation
O. M. Parhomenko
Russian Federation
Head of Medical Services
6, Zalessky st., Novosibirsk, 630047, Russian Federation
A. D. Kuimov
Russian Federation
Dr. Sci. (Med.), Professor, Head of the Department of Faculty Therapy
52, Krasny Prospect, Novosibirsk, 630091, Russian Federation
References
1. Boytsov S.A., Provatorov S.I. Cardiovascular diseases in the Russian Federation: the main components of mortality and prevention. Vestnik Roszdravnadzora. 2018(5):12–18 (In Russ.).
2. Gach O., El H.Z., Lancellotti P. Acute coronary syndrome. Rev. Med. Liege. 2018;73(5-6):243–250.
3. Boytsov S.A., Samorodskaja I.V., Nikulina N.N., Jakushin S.S., Andreev E.M., Zarat’janc O.V., et al. Comparative analysis of mortality from acute forms of coronary heart disease for the fifteen-year period in the Russian Federation and the USA and the factors affecting its formation. Terapevticheskij arhiv=Therapeutic Archive. 2017;89(9):53–59. DOI: 10.17116/terarkh201789953-59 (In Russ.).
4. Inherited aneurysm and stratification of the thoracic aorta. Supranational (international) recommendations. Minsk: Professional’nye izdanija; 2016 (In Russ.).
5. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases. Eur. Heart J. 2014;35:2873–2926. DOI: 10.1093/eurheartj/ehu281.
6. Prozorov S.A. Modern approaches to the prevention, evaluation and treatment of complications of endovascular interventions on the coronary arteries. Part II. Dissection of the trunk of the left coronary artery, right coronary artery with the transition of dissection to the aorta. Zhurnal im. N.V. Sklifosovskogo Neotlozhnaja medicinskaja pomoshh’= Sklifosovsky Journal of Emergency Medical Care. 2014;3:16–21 (In Russ.).
7. Bazhenova Ju.V., Drantusova N.S., Shanturov V.A., Podashev B.I. Computed tomography in the diagnosis of aortic aneurysms. Sibirskij medicinskij zhurnal (Irkutsk)=Siberian Medical Journal (Irkutsk). 2014;7:37–41 (In Russ.).
8. Valente T., Rossi G., Lassandro F., Rea G., Marino M., Muto M. MDCT evaluation of acute aortic syndrome (AAS). Br. J. Radiol. 2016;89(1061):20150825. DOI: 10.1259/bjr.20150825.
9. Kazancev A.N., Burkov N.N., Anufriev A.I., Tarasov R.S. Treatment of a patient with DeBakey type I aortic dissection with extension to the renal and iliac arteries. Fundamental’naja i klinicheskaja medicina=Fundamental and Clinical Medicine. 2017;2(2):93–99 (In Russ.).
10. Vasil’ev K.N., Bajandin N.L. Surgical treatment of acute aortic dissection type A at Stanford. Kardiologiya i serdechno-sosudistaya khirurgiya=Russian Journal of Cardiology and Cardiovascular Surgery. 2018;11(5):90–95 (In Russ.).
11. Shah P., Bajaj S., Shamoon F. Aortic dissection caused by percutaneous coronary intervention: 2 new case reports and detailed analysis of 86 previous cases. Tex. Heart Inst. J. 2016;43(1):52–60. DOI: 10.14503/THIJ-14-4585.
12. Russian C.F., Mariscalco G., Hills A., Good P., Nicolini F., Miceli A., et al. Italian multicentre study on type A acute aortic dissection: a 33-year follow-up. Eur. J. Cardiothorac. Surg. 2016;49(1):125–131. DOI: 10.1093/ejcts/ezv048.
Review
For citations:
Tolmacheva A.A., Lozhkina N.G., Kozik V.A., Stafeeva E.A., Najdena E.A., Hasanova M.H., Mukaramov I., Barbarich V.B., Parhomenko O.M., Kuimov A.D. TWO CASE REPORTS OF SUCCESSFUL CONSERVATIVE TREATMENT OF DISSECTING AORTIC ANEURYSM. Siberian Journal of Clinical and Experimental Medicine. 2019;34(2):113-117. (In Russ.) https://doi.org/10.29001/2073-8552-2019-34-2-113-117