Related Experiment Video

Updated: Feb 1, 2026

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
12:17

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Published on: May 21, 2017

11.9K

[Aortic bicarotid subclavian trifurcation bypass grafting combined with coronary aortic bypass grafting]

R S Tarasov1, A N Kazantsev1, A N Kokov1

  • 1Scientific Research Institute of Complex Problems of Cardiovascular Diseases, Kemerovo, Russia.

Angiologiia I Sosudistaia Khirurgiia = Angiology and Vascular Surgery
|December 12, 2018
PubMed

Insights

This study details a complex, multi-vessel revascularization surgery for severe atherosclerosis, achieving successful outcomes. The innovative approach prevented cardiovascular complications in a high-risk patient.

Area of Science:

  • Cardiovascular Surgery
  • Vascular Surgery
  • Surgical Innovation

Background:

  • Multifocal atherosclerosis presents complex revascularization challenges.
  • Simultaneous surgical correction of multiple arterial territories is technically demanding.
  • Optimal strategy selection is crucial for managing complex atherosclerotic disease.

Observation:

  • A patient underwent a technically challenging simultaneous operation involving carotid endarterectomy, aortic-carotid repair, brachiocephalic trunk repair, left subclavian bypass, and coronary artery bypass grafting.
  • The surgical procedure included prosthetic repair and autovein grafts for coronary artery bypass.
  • The patient had extremely complex, multifocal atherosclerotic disease.

Findings:

  • A novel, multi-stage surgical approach was successfully implemented.
  • An automated decision-making support system validated the chosen surgical strategy retrospectively.
  • The patient experienced a satisfactory one-year outcome with no major ischemic cardiovascular complications.

Implications:

  • This complex surgical approach can be effective in high-risk patients with multifocal atherosclerosis.
  • Automated decision support systems can aid in optimizing complex revascularization strategies.
  • Successful management of multifocal atherosclerosis can prevent severe ischemic events.

More Related Videos

Author Spotlight: Enhancing Coronary Artery Revascularization05:25

Author Spotlight: Enhancing Coronary Artery Revascularization

Published on: September 15, 2023

1.3K
Vein Interposition Model: A Suitable Model to Study Bypass Graft Patency07:22

Vein Interposition Model: A Suitable Model to Study Bypass Graft Patency

Published on: January 15, 2017

9.2K

Related Concept Videos

Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
604
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
442
Aortic Regurgitation IV: Nursing Management01:17

Aortic Regurgitation IV: Nursing Management

A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...
316
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
516
Coronary Circulation01:21

Coronary Circulation

The heart, an organ critical to survival, gets nourishment not from the blood it pumps but from a separate circulation system known as coronary circulation. This is the shortest circulation in the body and is responsible for supplying the heart with the nutrients it needs to function effectively.
Coronary circulation begins at the base of the aorta, where two main arteries arise—the left and right coronary arteries. These arteries encircle the heart in the coronary sulcus and supply the...
7.2K
Coronary Artery Disease I: Introduction01:30

Coronary Artery Disease I: Introduction

Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
1.1K