The comparison of the results of surgical treatment («elephant trunk» operation and hybrid technique with stent-graft implantation) of the thoracic aorta dissection type A

Methods 94 patients (mean age 48,7, males – 79) patients with type A dissection of the thoracic aorta (DeBeckey 1) within the period from 2001 to May, 2013 were operated. The 59 patients underwent «elephant trunk» operation – group A, 35 were operated with hybrid technique ( E-vita Open stent-graft implantation) – group B. Aortic valve sparing was used in 58 (61,7%) cases. Extra corporeal circulation throught arteria subclavia dextra – venae cavae was peformed. Cerebral and visceral protection were carried out with unilateral cerebral perfusion throught arteria subclavia dextra and additional contour for perfusion of the lower body. Deep 18-28oC and moderate hypothermia till 28oC were used.