[Surgical treatment of the aortic arch aneurysm. Immediate results]. / Khirurgicheskoe lechenie anevrizmy gugi aorty. Blizhaishie rezul'taty.

There was performed the retrospective analysis of 23 consecutive patients, to whom beside the ascending aorta aneurysm correction the aorta arch prosthesis was done in conditions of deep hypothermia, the blood circulation arrest with retrograde cerebral perfusion via vena cava superior. For an acute layering and aneurysm of aorta with pericardium tamponade or hemothorax occurrence 16 (69.6%) of patients were operated on in emergency. Hospital mortality had constituted 21.7%, including after an urgent operation performance--25% and elective surgery--14.3%.

[Late postoperative complications of coarctation of aorta]. / Pozdnie oslozhneniia posle khirurgicheskoi korrektsii koarktatsii aorty.

Main complications of the remote 2-35 years period after coarctation of the aorta repair are studied up. Of 2746 patients 2464 (89.7%) were operated upon at the age of 2-25 years old. In 841 (30.61%) of patients were determined coexistent heart diseases, more often aortic valve lesion. End-to-end anastomosis was fulfilled in 44.6% of operations and patch repair was done in 43.6%. The most frequent complication of the remote period was the aortic aneurysm-in 61 (2.2%) of cases. It occurred seven times more frequently after the patch repair (4.1%) then after anastomosis end-to-end conduction (0.6%). Late postoperative mortality equaled 1.5%. The main reasons of it were aneurysms at the site of repair--in 12 patients, aneurysms of the ascending aorta--in 4 and progressing of the coexisting heart diseases--in 10.