The role of comorbidity in assessing the risks in surgical treatment of ascending aorta and arch aneurisms Bakoulev National Medical Reseach Center for Cardiovascular Surgery, Moscow, 121552, Russian Federation

Authors: M.M. Gelashvili, V.A. Mironenko, E.V. Kuts, S.V. Garmanov

Company: Bakoulev National Medical Reseach Center for Cardiovascular Surgery, Moscow, 121552, Russian Federation

UDC: 616.132.14-007.64-089.844
DOI: https://doi.org/10.24022/1810-0694-2020-21-4-355-361

Cite as: Gelashvili M.M., Mironenko V.A., Kuts E.V., Garmanov S.V. The role of comorbidity in assessing the risks in surgical treatment of ascending aorta and arch aneurisms. The Bulletin of Bakoulev Center. Cardiovascular Diseases. 2020; 21 (4): 355–61 (in Russ.). DOI: 10.24022/1810-0694-2020-21-4-355-361

Received / Accepted: 14.05.2020/30.06.2020

Keywords: aortic aneurysm aortic dissection malperfusion connective tissue dysplasia comorbidity risk-score obesity chronic obstructive pulmonary disease diabetes mellitus hypertension

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Abstract

Treatment of aortic aneurysms, especially proximal ones, is one of the most difficult problem of cardiac surgery at present. Undoubtedly, surgical treatment with cardiopulmonary bypass is the only effective method that allows either a complete cure or significantly increase the life expectancy of patients with aneurysm or aortic dissection. Most patients are in the middle and older age category and have one or more of comorbidities. Comorbidity in any surgical intervention make a significant contribution to the results of treatment, and even more so in cardiac surgery. The study presents the main pathologies that are most common in the practice of aortic surgery. Importance is given to the initial severity of the patients condition, malperfusion syndrome, connective tissue dysplasia, hypertension, obesity, diabetes mellitus, and chronic obstructive pulmonary disease. A number of risk assessment scales currently used are described.

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About the authors

Melano M. Gelashvili, Cardiologist, orcid.org/0000-0001-8116-2455
Vladimir A. Mironenko, Dr. Med. Sc., Head of Department, Cardiovascular Surgeon, orcid.org/0000-0003-1533-6212
Eleonora V. Kuts, Dr. Med. Sc., Cardiologist, Leading Researcher, orcid.org/0000-0002-3044-0600
Sergey V. Garmanov, Cand. Med. Sc., Cardiovascular Surgeon, orcid.org/0000-0001-8568-9043

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Chief Editor

Elena Z. Golukhova, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, Director of Bakoulev National Medical Research Center for Cardiovascular Surgery

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