A variant of surgical reconstruction in type i aortic dissection combined with dissection and thrombosis of brachiocephalic arteries

Belov Yu.V., Komarov R.N., Stepanenko A.B., Chernyavskii S.V.

Department of Surgery of the Aorta and its Branches of the B.V. Petrovsky Russian Scientific Centre of Surgery, Moscow, Russia

Described herein is a variant of surgical treatment of a patient presenting with type A aortic dissection extending to the brachiocephalic branches accompanied by thrombosis of the false channel of the latter. In the rare cases in dissection and thrombosis of the brachiocephalic branches for adequate protection of the body (systemic protection) it is necessary to use bidirectional arterial perfusion under the conditions of moderate hyperthermia: through a preliminarily sewn into the carotid artery prosthesis – perfusion of the brain, through cannulated aortic arch or femoral artery – body perfusion.

KEY WORDS: aortic arch, brain protection, cannulation, perfusion, prosthetic repair of the ascending aorta, aortic dissection, circulatory arrest.

P. 133

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