Results of surgical treatment of thoracic aortic aneurysm

Abstract

Purpose. To analyze of the work was to study the immediate results of surgical treatment of
aneurysms of the ascending section and the arch of the thoracic aorta.
Material and methods. An assessment of 30 operations for this pathology was carried out from
2017 to 2023. All operated patients were operated on for complicated forms of aneurysms
and performed urgently. The main clinical and diagnostic criteria of indications for surgical
treatment are presented, on the basis of which various types of aortic prosthetics were per
formed both with the preservation of the aortic valve and with simultaneous correction of
valvular pathology.
Results. The most common operations were performed using valve-containing conduits. The
hospital mortality rate was 26%. The main proportion of deaths is associated with the de
velopment of bleeding and multiple organ failure in the early postoperative period due to
malperfusion syndrome.
Conclusion. Thus, based on the conducted research, the problem of surgical treatment of
aneurysms of the ascending section and the arch of the thoracic aorta remains very relevant.
The statistics of our center (survival rate at 74%), as a hospital providing emergency surgical
care to patients with acute aortic dissection. The option we have developed to strengthen the
anastomosis line with a double winding seam using synthetic materials is worthy of attention
and has proven its effectiveness in practice