Suture line reinforcement using suction-assisted bioglue application during surgery for acute aortic dissection.

Bioglue has been widely and variously applied in treating acute aortic dissection according to the pathological process and surgeon's preference. This publication outlines a new hemostatic technique using suction-assisted bioglue application for aortic suture line reinforcement during surgery on acute aortic dissection. Twenty consecutive patients were treated in our center for acute aortic dissection using this technique.

[Thrombectomy as a method of surgical treatment of thrombosis of a mechanical prosthesis of the heart valve (a description of three cases)].

The article presents three clinical observations of successful thrombectomies in patients with thromboses of modern bicuspid prostheses of the heart (MEDINZH-2, Carbo Medics) which was 21.4% of all operations (14) for acute thrombosis of the artificial heart valve. It should be taken into consideration that such kind of operation is possible when there are easily removed small loose thrombus, good fixation of the prosthesis and a complete endothelization of the cuff.

[Early results of surgical treatment of infective endocarditis].

Operations were performed on 183 patients with infective endocarditis and injury of the valve apparatus of the heart. Duration of the disease was from 5 weeks to 9 years. Insufficiency of circulation of the III-IV functional class was noted in 92% of the patients.

[Rare causes of the dysfunction of mechanical bicuspid heart valves].

The authors share the observations from their cardiosurgical practice showing that one of the causes of sudden death or of rapid worsening of the state of patients with implanted bicuspid artificial valves might be their dysfunction resulting both from breakage of the hinged mechanisms of the valve with its dislocation and migration and from the disturbed mobility of the valve cusp due to a thrombus formed in the atrium. The observations show that the "ideal" construction of the valve is to be created.