DIAGNOSTICS AND SURGICAL TREATMENT OF THE AORTA DISSECTING ANEURISM TYPE A, RESULTS OF SURGERY

V. Kravchenko, І.М. Kravchenko, О.А. Tretiak
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Abstract

The purpose – to evaluate the results of the surgical treatment experience of the aortadissecting aneurysms of type A.Material and methods. Surgical treatment of stratified aortic aneurysms of type Aremains one of the most difficult problems in cardiac surgery. The article presentsall experience (947 stratifying aneurysms of type A) of surgical treatment of suchaneurysms by one team. Factors that could have caused the formation of an aorticaneurysm (aortic dissection) have been identified.Results. The total hospital mortality during surgical treatment of a stratified aorticaneurysm type A was 9.7%, in addition to that – 10.1% in the acute stage and 8.4% inthe chronic stage.Conclusions. Accumulation of surgical experience, improvement of methods ofprotection of heart, brain during surgical treatment of a stratifying aortic aneurysm oftype A made it possible to achieve 4.8% of hospital mortality.
a型主动脉夹层动脉瘤的诊断与手术治疗,手术结果
目的:评价a型主动脉夹层动脉瘤的手术治疗经验。分层型主动脉瘤的手术治疗一直是心脏外科的难点之一。本文介绍一组手术治疗A型动脉瘤947例的经验。可能导致主动脉瘤(主动脉夹层)形成的因素已被确定。分层型a型主动脉瘤手术治疗期间的住院总死亡率为9.7%,其中急性期为- 10.1%,慢性期为8.4%。手术治疗分层型a型主动脉瘤经验的积累,心、脑保护方法的改进,使其住院死亡率达到4.8%。
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