Publications by authors named "Pavel A Myalyuk"
Article Synopsis
- A study was conducted to compare the effects of mild and moderate hypothermic circulatory arrest (MMHCA) versus deep and profound hypothermic circulatory arrest (DPHCA) during acute type A aortic dissection repairs on blood loss and mortality.
- The results showed that the MMHCA group had significantly less chest re-exploration due to bleeding, reduced post-surgery blood loss, and lower red blood cell transfusion needs compared to the DPHCA group.
- Additionally, the MMHCA group experienced lower in-hospital mortality rates and a 25% reduction in long-term mortality compared to those in the DPHCA group, indicating better overall survival outcomes.
Article Synopsis
- Minimizing ischemic injury during thoracoabdominal aortic aneurysm (TAAA) repair is crucial to avoid complications like paraplegia and kidney failure.
- The new technique introduced in this report reverses the typical anastomosis order and reduces the duration of aortic clamping during surgery.
- Test cases, including one involving a 29-year-old with a complex aortic dissection, show this method leads to decreased ischemia times and is both safe and effective.
Kommerell's diverticulum (KD) is a rare congenital vascular abnormality due to the formation of an abnormal aortic arch, most commonly associated with dilatation at the proximal part of the aberrant subclavian artery. This article describes an option of surgical treatment in a patient with KD. The proposed new technique of aortic arch surgical reconstruction with a stent-graft placement in the descending aorta reduces CPB time, aortic clamp and circulatory arrest time.
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