title: [Single-stage correction of aortic coarctation combined with an aneurysm of the ascending portion of the aorta and/or intracardiac pathology in adults].
abstract: OBJECTIVE
  the work was aimed at substantiating and studying the outcomes of single-stage correction of aortic coarctation combined with an aneurysm of the ascending portion of the aorta and/or intracardiac pathology in adult patients.
  
  
  METHODS
  From August 2009 to September 2012, a total of nine patients were operated on for aortic coarctation combined with an aneurysm of the ascending portion of the aorta and/or intracardiac pathology. The patient s average age amounted to 35.6±15 years. The risk median according to the Euroscore scale equalled 9.35 % (7 points). Aortic coarctation was corrected by means of ascending-to-descending bypass grafting of the aorta, simultaneously accompanied by prosthetic repair of the ascending portion of the aorta and/or correction of cardiac pathology from the median sternotomy approach.
  
  
  RESULTS
  The mean duration of artificial circulation amounted to 178.7±25.5 min, with that of myocardial ischaemia equalling 133.7±29.4 min. The average volume of blood loss was 616.6±325 min. The postoperative follow-up period ranged from two months to three years. No lethal outcomes were observed. The clinical manifestation of hypertension regressed in all patients. There were no cases of either dislocation of the ascending-descending bypass graft or compression of the surrounding formations thereby.
  
  
  CONCLUSIONS
  The presented technique of single-stage surgical correction of aortic coarctation combined with an aneurysm of the ascending aorta and/or intracardiac pathology in adult patients makes it possible to perform all technical manipulations during a single-step surgical intervention from one approach, i. e. sternotomy. Placing the aorto-aortic graft behind the inferior vena cava toward the front of the right pulmonary veins makes it possible to minimize the risks associated with an extra-anatomical position of the prosthesis.
authors.forename: E V
authors.initials: EV
authors.lastname: Rosseĭkin
authors.forename: M E
authors.initials: ME
authors.lastname: Evdokimov
authors.forename: V V
authors.initials: VV
authors.lastname: Bazylev
authors.forename: S A
authors.initials: SA
authors.lastname: Vachev
mesh_terms: D000328:Adult; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001017:Aortic Coarctation / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D004452:Echocardiography; D005260:Female; D005500:Follow-Up Studies; D006349:Heart Valve Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome