[OUTCOMES OF SURGICAL TREATMENT OF COMPLEX PATHOLOGY OF THE ASCENDING AORTA, AORTIC ARCH, DESCENDING THORACIC AORTA, THROUGH THE "ELEPHANT TRUNK" HYBRID METHOD].

Complete prosthetic surgery of the ascending aorta, aortic arch branches, and descending aorta in patients with aortic arch aneurysm, study and demonstration the possibility of the "elephant trunk" method. The paper describes the technology and demonstrates the results of the first 29 operations of ascending aorta, aortic arch, aortic arch branches and descending thoracic aortic prostheses performed by the staff of the Department of Aortic Pathologies of the Amusov State Institute during 2016-2020. All patients, underwent elephant trunk prosthesis surgery of the ascending aorta, aortic arch, aortic arch branches, and descending thoracic aorta as the first stage of reconstruction of aortic arch pathology.

Successful surgical treatment of a patient with combined gunshot shrapnel injuries in the heart and brain complicated by middle cerebral artery pseudoaneurysm.

Successful step-by-step treatment of a combined gunshot shrapnel injury of the brain, damaging the left middle cerebral artery (MCA) branches, and penetrating myocardium injury is discussed. Open brain and heart surgeries were performed. A left MCA pseudoaneurysm was formed postoperatively.

[Oxygen metabolism with low hematocrit levels in the course of guided hemodilution procedure in cardiosurgical patients].

Influence of hemodilution on the oxygen metabolism in patients, operated, using the artificial blood circulation apparatus, was studied up. Factors, determining the oxygen delivery to tissues, was estimated, correlational links between the blood rheological properties and its oxygen--transporting function were established. Experience of application of apparatus Aeprex, promoting the oxygen delivery to tissue improvement and the need in donor's blood lowering, performing operations, using the artificial blood circulation apparatus.

[Double and single ventricular correction of dual deviation of main vessels from the right ventricle of transposition type].

The experience of surgical treatment of double deviation of main vessels from right ventricle of transpositional type for the 1996-2001 period. Double ventricular correction was done in 22 (73.3%), singleventricular one--in 8 (26.

[The evaluation of application efficacy of cardioplegic solution with perftoran in addition to surgical correction of congenital heart defects].

Experience of the myocardium defense for correction of the heart failures in conditions of artificial blood circulation was analyzed in 55 patients. Antegrade pharmacool crystalloid cardioplegia, based on the potassium chloride solution was applied in 32 patients. In 23 patients perftoran was added to cardioplegic solution.