Clinical applications of xenopericardial conduits in surgery of ascending aortic aneurysms

• Published in: Grudnaia i serdechno-sosudistaia khirurgiia no. 5; p. 50
• Main Authors: Malashenkov, A I, Fursov, B A, Rusanov, N I, Zaĭtsev, L V, Borisov, V I, Kolesnik, T F
• Format: Journal Article
• Language: Russian
• Published: Russia (Federation) 01-09-1993
• Subjects: Adult; Aorta - surgery; Bioprosthesis; Blood Vessel Prosthesis; Coronary Aneurysm - surgery; Female; Humans; Male; Middle Aged; Retrospective Studies
• ISSN: 0236-2791

At the Department of Acquired Cardiac Diseases (Head is Prof. G. I. Tsukerman), A. N. Bakulev Institute of Cardiovascular Surgery, 145 patients underwent operation for ascending aortic aneurysms, out of them the Bentalle-De Bono and the Cabrol operations were performed in 81 and 25 patients, respectively, the remaining 39 patients had palliative interventions. From February 1991 to April 1993, the clinic performed in 11 patients prosthesis of the ascending aorta with a xeno-pericardial conduit containing a bioprosthesis of the same tissue. The paper describes the technical features of bio-conduit implantation. The use of xeno-pericardial conduits facilitates the technique of applying anastomoses, lowers hemophilia and reduces the length of an operation. Hemorrhagic and thromboembolic events are expected to be reduced in late periods. At the hospital stage 1 patient died. The cause of his death was peri-coronary hematoma. Ten patients are still under observation. Repeated examinations have not detected no specific complications typical of those observed in the application of synthetic conduits. The first experience has proved to be quite promising. However, the final assessment is possible only when sufficient clinical materials are accumulated and late outcomes are studied.