11-years followup of a patient with marfan syndrome complicated with acute aortic dissection after Bentall - De Bono procedure using composite mechanical valve and xenopericardial ascending aortic graft

  • Юрий Всеволодович Желтовский Irkutsk State Medical Academy of Continuing Education
  • Евгений Валерьевич Пешков Irkutsk Regional Clinical Hospital
  • Владимир Анатольевич Подкаменный Irkutsk State Medical Academy of Continuing Education
  • Вячеслав Игоревич Батеха Irkutsk Regional Clinical Hospital

Abstract

Hospital mortality of patients with Marfan syndrome complicated with acute aortic dissection remains high and varies at 4 to 50% even in head cardiosurgery centers. Currently, composite mechanical valve and synthetic ascending aortic grafts are used. So far, reports about using a biological ascending aortic graft for surgical correction of acute aortic dissection are rare. At the same time, long- term follow - up (more than10 years) for biodegradation or calcification of biological grafts is of interest. A case report of Bentall - De Bono procedure using composite mechanical valve and xenopericardial ascending aortic graft in patient with Marfan syndrome, complicated with acute aortic dissection, is presented. Long- term follow- up was 11 years.

References

1. Барбухатти К.О., Болдырев С.Ю., Белаш С.А. и др. Операция Бенталла - де Боно при синдроме Марфана у чле¬нов одной семьи // Кардиология и сердечно-сосудистая хи¬рургия. - 2009. - №2. - С.88.
2. Генс А.П. Хирургическое лечение аневризматической болезни аорты, обусловленной дисплазией соединительной ткани: Автореф. дис. ... канд. мед. наук. - М., 2004. - С.3-8.
3. Земцовский Э.В. Сердечно-сосудистый континуум при синдроме Марфана // Сибирский медицинский журнал (Томск). - 2011. - Т. 26. №3-2. - С.13-18.
4. Муслимов Р.Ш. Биокондуиты в хирургии аневризмы восходящей аорты: Автореф. дис. . канд. мед. наук. - М., 2004. - С.2-4.
5. Русанов Н.И., Дорофеев А.В., Мовсесян Р.А. Отдаленные результаты имплантации ксеноперикардиальных кондуитов при хирургической коррекции аневризмы восходящей аор¬ты // Грудная и сердечно-сосудистая хирургия. - 2010. - №2. - С.29-30.
6. Фунг З.Х.Ш. Отдаленные результаты имплантации ксе- ноперикардиальных кондуитов при хирургической коррек¬ции аневризмы восходящей аорты: Автореф. дис. ... канд. мед. наук. - М., 2012. - С.3-7.
7. Abdullah K., Robin H.H., Johonnes C.K. First 102 patients with biovalsalva conduit for aortic root replacement // The annals of thoracic surgery. - 2012. - Vol. 94. - P72-77.
8. Murdock J.L., Walker B.A., Halpern B.L., et al. Life expectancy and causes of death in the Marfan syndrome // N EnglJ Med. - 1972. - Vol. 286 - P.804-808.
REFERENCES
1. Barbukhatii K. O., Boldyrev S. Iu., Belash S. A., et al. Bentall - De Bono operation in patients with Marfan's syndrome from one family // Kardiologiia i serdechno-sosudistaia khirurgiia. - 2009. - №2 - P.88. (in Russian)
2. Hens A. P. Surgical treatment of aortic aneurysmal disease caused by connective tissue dysplasia: Thesis PhD (Medicine). - Moscow, 2004. - P.3-8. (in Russian)
3. Zemtsovskiy E. V. The cardiovascular continuum in Marfan syndrome // Sibirsky meditsisnky zhurnal (Tomsk). - 2011. - № 3-2. - P.13-18. (in Russian)
4. Muslimov R.Sh. Bioconduits in surgery of aneurysm of the ascending aorta: Thesis PhD (Medicine). - Moscow, 2004. - P.2-3. (in Russian)
5. Rusanov N.I., Dorofeyev A.V., Movsesyan R.A. Long-term results of implantation xenopericardial conduits in the surgical correction of aneurysm of the ascending aorta // Grudnaya i serdechno-sosudistaya khirurgiya. - 2010. - №2. - P.29-30. (in Russian)
6. Fung Z.Kh.Sh. Long-term results of implantation xenopericardial conduits in the surgical correction of aneurysm of the ascending aorta: Thesis PhD (Medicine). - Moscow, 2012. - P.3-7. (in Russian)
7. Abdullah K., Robin H.H., Johonnes C.K. First 102 patients with biovalsalva conduit for aortic root replacement // The annals of thoracic surgery. - 2012. - Vol. 94. - PV2-77.
8. Murdock J.L., Walker B.A., Halpern B.L., et al. Life expectancy and causes of death in the Marfan syndrome // N Engl J Med. - 1972. - Vol. 286 - P.804-808.
Published
2018-04-16
How to Cite
ЖЕЛТОВСКИЙ, Юрий Всеволодович et al. 11-years followup of a patient with marfan syndrome complicated with acute aortic dissection after Bentall - De Bono procedure using composite mechanical valve and xenopericardial ascending aortic graft. Sibirskij Medicinskij Zurnal (Irkutsk) = Siberian Medical Journal (Irkutsk) 16+, [S.l.], v. 141, n. 2, p. 70-73, apr. 2018. ISSN 1815-7572. Available at: <http://smj.ismu.baikal.ru/index.php/osn/article/view/191>. Date accessed: 24 aug. 2026.
Section
Clinical cases