INVAGINATIVE METHOD OF ANASTOMOSIS FORMATION UNDER REPLACEMENT OF THE ASCENDING AORTA IN PATIENTS WITH ACUTE AORTIC DISSECTION TYPE A

Abstract

INTRODUCTION The traditional “sandwich” technology of anastomosis between the dissected aortic wall and synthetic vascular prosthesis in the surgical treatment of acute aortic dissection type A does not fully meet the idea of an urgent surgical treatment of patients with this disease. We evaluated the experience of the new “invaginated” technique of anastomoses formation.MATERIAL AND METHODS We compared the results of surgical treatment of patients with the “sandwich” and “invaginated” technique of anastomotic formation. The parameters of bleeding, cardiopulmonary bypass time, mortality, as well as the state of the false lumen in the early and late postoperative periods have been studied.CONCLUSION Invaginative formation of anastomosis between the aorta and vascular prosthesis provides good immediate hemostatic effect and creates the best conditions for fi lling the false lumen in the treatment of acute aortic dissection type A