title: [Surgical treatment of giant aneurysms of ascending parts and arch of the aorta in condition of deep hypothermia and circulatory arrest with artificial assisted circulation].
abstract: Sternotomy in giant (10 cm and more in diameter) aneurysms is highly dangerous due to possibility of injury of aneurysmatic wall with fatal bleeding. That is why sternotomy in condition of artificial circulation (AC) and cooling of patients to 29-30 degrees C are preferred. Two cases of successful surgical treatment of critical patients with giant aneurysms of ascending parts and arch of the aorta in condition of femoro-femoral AC, hypothermia (20 degrees C) and circulatory arrest are presented. One of the patients had a giant false posttraumatic aneurysm of an ascending part of the thoracic aorta with fistula between aneurysm and pulmonary artery. Suturing of defects of ascending aorta and pulmonary artery wall, aneurysmorrhaphia of pulmonary artery were performed. The other patient with acute disruption of a giant dissected aortal aneurysm and hemomediastinum underwent prosthesis of ascending part and arch of the aorta.
authors.forename: Iu V
authors.initials: IuV
authors.lastname: Belov
authors.forename: A P
authors.initials: AP
authors.lastname: Gens
authors.forename: A B
authors.initials: AB
authors.lastname: Stepanenko
authors.forename: L S
authors.initials: LS
authors.lastname: Lokshin
authors.forename: G V
authors.initials: GV
authors.lastname: Babalian
authors.forename: F V
authors.initials: FV
authors.lastname: Kuznechevskiĭ
authors.forename: M V
authors.initials: MV
authors.lastname: Kirillov
mesh_terms: D000784:Aortic Dissection / Q000601:surgery*; D017541:Aneurysm, False / Q000601:surgery*; D017130:Angioplasty / Q000379:methods*; D001011:Aorta / Q000601:surgery; D001014:Aortic Aneurysm / Q000601:surgery*; D005112:Extracorporeal Circulation; D006801:Humans; D007036:Hypothermia, Induced; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome