[MINIMALLY INVASIVE APPROACH IN THE SURGICAL TREATMENT OF THE ASCENDING AORTA PATHOLOGY: ADVANTAGES AND...

The aim - to improve the results of surgical treatment of ascending aorta pathology in combination with aortic valve disease by minimizing operative trauma for the purpose of rapid physical recovery of patients. In National Amosov Institute of Cardiovascular Surgery from 01/01/2015 to 31/12/2019 65 patients were operated due to isolated aneurysms of the ascending aorta of small diameter and in combination with lesions of the aortic valve in whom upper J-shaped mininotomy was applied as an access. Comparison group which included 61 patients, where the traditional median sternotomy was used. There were no lethal outcomes. The intervention time was 220-380 minutes (mean 279,8±28,0 min.). Mean crossclamp time was 115,8±15,4 min. Intraoperative blood loss in all cases did not exceed 400 ml. Blood loss in the first postoperative day ranged from 50 to 300 ml (average 201,12±12,9 ml.). Mechanical ventilation on average lasted 4.5±0.5 hours after the intervention. All patients were transferred from the intensive care unit within 36±3.5 hours after surgery. The technique of correction of aortic valve defects in combination with aneurysm of the ascending aorta using minimally invasive access allows to minimize surgical trauma, provides a good cosmetic effect and can be used in clinical practice as an alternative to median sternotomy.