title: [Mega aorta: Borst operation or Kouchoukos operation?].
abstract: It was done 163 operations on aortic arch in terms 2000 to December 2011. All patients were operated in the department of aortic surgery of acad. B.V. Petrovskogo RSCS of RAMS. 36 operations were performed by using of Borst's technique and 9 operations - by using of Kouchoukos technique in case of extended aneurysms of thoracic aorta. All patients did not differ in the severity of primary state, concomitant diseases and age. Duration of cardiopulmonary bypass and internal organs ischemia were 189±55/190±47 and 55±8/77±20 min respectively. Complication frequency was 27% and 22% in case of cardiovascular failure. Respiratory failure was 16.7% and 33%. Liver and renal failure was observed in 27% and 11% of cases. Encephalopathy was detected 33% and 22% of cases. Mortality was 22% and 11% of cases. It was concluded that Kouchoukos technique is alternative and safe method in thoracic aorta aneurysm treatment.
authors.forename: Iu V
authors.initials: IuV
authors.lastname: Belov
authors.forename: R N
authors.initials: RN
authors.lastname: Komarov
authors.forename: I A
authors.initials: IA
authors.lastname: Vinokurov
mesh_terms: D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000379:methods; D001013:Aorta, Thoracic / Q000473:pathology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000401:mortality / Q000503:physiopathology / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000379:methods; D005260:Female; D006801:Humans; D007430:Intraoperative Care / Q000009:adverse effects / Q000379:methods; D007431:Intraoperative Complications / Q000453:epidemiology / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000453:epidemiology / Q000503:physiopathology / Q000517:prevention & control; D016019:Survival Analysis; D016896:Treatment Outcome