Abstract
The article presents the main stages of formation and the results of the Department of reconstructive surgery and the aortic root. The Department performs more than 500 operation in a year, including 370 operations with artificial circulation, including about 100 operations on the ascending aorta and arch. The main scientific directions of the Department work is surgical treatment of complicated forms of aortic aneurysms,
development of methodology and implementation of repeated interventions, including the ascending aorta and arch. Of particular interest is the study of the peculiarities of diagnosis and surgical treatment of patients with dilatation lesions of left ventricle caused by acquired defect of the heart valves. Accumulated experience in the use of techniques of artificial circulation in interventions on the aortic arch, brachiocephalic arteries
in acute and chronic aortic bundles. Developed and used in practice methods of performing repeated interventions via lateral thoracotomy without recompressing or layered prosthetic aorta. Widely used methods of influence on the architecture of the left ventricle during correction of valvular heart disease.
References
- Bockeria L.A., Malashenkov A.I., Rychin S.V., Garmanov S.V., Fung Shon, Vasil'eva E.V. et al. Prosthetics ascending part of the aortic arch and under bigemispheral cerebral perfusion at different levels of hypothermia. Annaly khirurgii. 2012; 2: 38–45 (in Russian).
- Mironenko V.A., Rychin S.V., Garmanov S.V., Sergeeva E.S. Variants of the heart-lung in acute bundle type 1, the complicated critical ischemia of the lower limb. Grudnaya i serdechno-sosudistaya khirurgiya. 2013; 6: 58–60 (in Russian).
- Garmanov S.V., Mironenko V.A., Rychin S.V., Averina T.B., Rybka M.M., Chegrina. L.V. Possible approaches for arterial perfusion in aortic dissection type I. Byulleten' Nauchnogo Tsentra SerdechnoSosudistoy Khirurgii imeni A.N. Bakouleva RAMN. 2015; 16 (6, Appl.): 182 (in Russian).
- Kuts E.V. The clinical evaluation and the results of surgical treatment of patients with dilatation and reduced left ventricular function in conjunction with valvular heart. D-r Med. Sci. Dis. Moscow; 2014 (in Russian).
- Boсkeria L.A., Skopin I.I., Kuts E.V. Prognostic value of brain natriuretic peptide in patients with heart valve defects and decreased myocardial contractility. Grudnaya i serdechno-sosudistaya khirurgiya. 2010; 5: 32–36 (in Russian).
- Hvass U., Tapia M., Baron F. et al. Papillary muscle sling: a new functional approach to mitral repair in patients with ischemic left ventricular dysfunction and functional mitral regurgitation. Ann. Thorac. Surg. 2003; 75: 809–11.
- Hvass U., Joudinaud T. The papillary muscle sling for ischemic mitral regurgitation. J. Thorac. Cardiovasc. Surg. 2010; 139: 418–23.
- Shudo Y., Matsumiya C., Sakaguchi T. et al. Assessment of changes in mitral valve configuration with multidetector computed tomography: Impact of papillary muscle imbrication and ring annuloplasty. Circulation. 2010; 122: S29-36.
- Mironenko V.A. Surgical treatment of mitral valve insufficiency with the architectonic preservation of left ventricular. Dis. doktora med. nauk. Moscow; 2003 (in Russian).
- Skopin I.I., Nikitina T.G., Bazaev V.A., Mironenko V.A., Irodova N.L., Perepelitsa A.A., Kuts E.V. The use of the combined method of surgical treatment of patients with decompensated aortic defect, and end-stage heart failure. Byulleten' Nauchnogo Tsentra Serdechno-Sosudistoy Khirurgii imeni A.N. Bakouleva RAMN. 2005; 6 (6): 14–7 (in Russian).
- Skopin I.I., Mironenko V.A., Kuts E.V. et al. Heart failure and dilated left ventricular failure: surgical perspective. Kreativnaya kardiologiya. 2007; 1–2: 32–46 (in Russian).
- Scopin I.I., Kakhktsyan P.V., Kuts E.V., Mironenko V.A. Estimation of efficiency of decreasing interpapillary muscles distance using polytetrafluoroethylene loop in patients with heart valve disease and dilated left ventricle. Cardiology. 2010; 115: 251–93.
- Kuts E.V., Mironenko V.A., Melikulov A.Kh., Karamatov A.Sh., Mironenko M.Yu. Experience in the use of cardiac resynchronization therapy in patients after correction of valvular heart lesions in dilated left ventricle. Byulleten' Nauchnogo Tsentra Serdechno-Sosudistoy Khirurgii imeni A.N. Bakouleva RAMN. 2013; 14 (3): 85 (in Russian).
- Bockeria L.A., Gudkova R.G. Cardiovascular Surgery – 2014. Diseases and congenital malformations of the circulatory system. A.N. Bakoulev Center for Cardiovascular Surgery. M.: 2015 (in Russian).
- Coselli J.S. Redo aortic surgery. Presented at STSA 57th Annual Meeting Postgraduate program (2010). Available at: http://stsa.org/wp-content/uploads/ 2012/12/2010_Postgraduate_Coselli.pdf.
- Kokoev M.B., Malashenkov A.I., Rusanov N.I., Umarov V.M., Rychin S.V., Mironenko V.A. et al. Reoperations on ascending aorta: our experience with 51 patients. J. Cardiovasc. Surg. 2012; 2 (53) s1: 60.
- Bockeria O.L., Mironenko V.A., Averina I.I., Koasari A.K. Surgical treatment of aneurysms of sinuses of Valsalva and recanalization of aorto-left ventricular tunnel after 5 years after grafting of the tunnel and prosthetic aortic valve. Grudnaya i serdechnososudistaya khirurgiya. 2013; 2: 23–6 (in Russian).
- Kokoev M.B. Structure and primary prevention of repeated operations on the ascending aorta. Byulleten' Nauchnogo Tsentra Serdechno-Sosudistoy Khirurgii imeni A.N. Bakouleva RAMN. 2015; 2 (16): 4–15 (in Russian).
- Rychin S.V., Mironenko V.A., Makarenko V.N., Umarov V.M., Kokoev M.B., Rychina I.E. et al. Reoperation for the thoracic aorta after previous interventions on the aortic root in patients with Marfan syndrome. A.N. Bakoulev Center for Cardiovascular Surgery RAMS. 2014; 3 (15): 31 (in Russian).
- Kokoev M.B., Mironenko V.A., Rychin S.V., Darvish N.A., Chegrina L.V., Averina T.B. The combined interventions on brachiocephalic vessels with repeated surgery for dissection of the aortic arch. Byulleten' Nauchnogo Tsentra SerdechnoSosudistoy Khirurgii imeni A.N. Bakouleva RAMN. 2015; 6 (16): 58 (in Russian).
- Di Bartolomeo R., Berretta P., Petridis F.D., Folesani G., Cefarelli M., Di Marco L. et al. Reoperative surgery on the thoracic aorta. J. Thorac. Cardiovasc. Surg. 2013; 145 (3): S78–S84.
- Mironenko V.A., Rychin S.V., Kokoev M.B., Karamatov A.Sh. Re-prosthetics root of the aorta with cryopreserved allograft in conditions of purulent mediastinitis. Grudnaya i serdechno-sosudistaya khirurgiya. 2014; 4: 56–9 (in Russian).
- Kokoev M.B. Reoperation on the ascending aorta after previous surgery on the ascending aorta and aortic valve (surgery technique and results) Grudnaya i serdechno-sosudistaya khirurgiya. 2015; 4: 11–21 (in Russian).
- Di Eusanio M., Berretta P., Bissoni L., Petridis F.D., Di Marco L., Di Bartolomeo R. Re-operations on the proximal thoracic aorta: results and predictors of short- and long-term mortality in a series of 174 patients. Eur. J. Cardiothorac. Surg. 2011; 40: 1072–6.
- Luciani N., De Geest R., Anselmi A., Glieca F., De Paulis S., Possati G. Results of reoperation on the aortic root and the ascending aorta. Ann. Thorac. Surg. 2011; 92: 898–903.
- Kokoev M.B., Bockeria L.A., Mironenko V.A., Rychin S.V., Umarov V.M., Kuts E.V. et al. Reoperations for aortic root infection. J. Cardiovasc. Surg. 2014; 2 (55) s2: 74.
- Kokoev M.B., Mironenko V.A., Rychin S.V., Umarov V.M., Kosareva T.I., Gordeev S.L. et al. Options transactions with repeated interventions for the massive destruction of the aortic root infectious origin. Byulleten' Nauchnogo Tsentra SerdechnoSosudistoy Khirurgii imeni A.N. Bakouleva RAMN. 2015; 3 (16): 31 (in Russian).
- Kokoev M.B., Mironenko V.A., Rychin S.V., Rybka M.M., Averina T.B., Gordeev S.L. et al. Reoperation on the ascending aorta with the use of cryopreserved allograft. Byulleten' Nauchnogo Tsentra Serdechno-Sosudistoy Khirurgii imeni A.N. Bakouleva RAMN. 2015; 6 (16): 57 (in Russian).
- Kokoev M.B., Mironenko V.A., Rychin S.V., Umarov V.M., Kosareva T.I., Chegrina L.V. et al. Comparative evaluation of using synthetic conduit and cryopreserved allograft of when re-treatment for prosthetic endocarditis after surgeries on the aortic valve and the ascending aorta. Byulleten' Nauchnogo Tsentra Serdechno-Sosudistoy Khirurgii imeni A.N. Bakouleva RAMN. 2014; 3 (15): 18 (in Russian).
- Mironenko V.A., Rychin S.V., Kokoev M.B., Aleksandrova S.A. The prosthetics of the ascending aorta and aortic valve with cryopreserved allograft in active prosthetic endocarditis after the operation of Bentall–De Bono. Grudnaya i serdechno-sosudistaya khirurgiya. 2014; 2: 34–7 (in Russian).
About the authors
- Mironenko Vladimir Aleksandrovich, MD, PhD, DSc, Chief of Department;
- Rychin Sergey Vladimirovich, MD, PhD, Senior Research Associate;
- Kuts Eleonora Vinsentovna, MD, PhD, DSc, Leading Research Associate
