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Case Reports
. 2019;25(2):171-174.
doi: 10.33529/angio2019219.

[Florida sleeve operation in a patient with pronounced aortic root calcification]

[Article in Russian]
D S Khvan  1 , D A Sirota  1 , M M Liashenko  1 , S A Al'sov  1 , A M Cherniavskiĭ  1
Affiliations
Case Reports

[Florida sleeve operation in a patient with pronounced aortic root calcification]

[Article in Russian]
D S Khvan et al. Angiol Sosud Khir. 2019.

Abstract
in English, Russian

Aneurysmatic dilatation of the aortic root and ascending portion of the aorta is one of the most complicated pathologies of the cardiovascular system. The 5-year survival rate does not exceed 13%. Especially difficult from the point of view of surgical reconstruction are variants of massive calcification of the aortic root. This article describes a case report concerning the Florida sleeve technique in a patient with diffuse calcification of the aortic root, involving the ostia of the coronary arteries. An important advantage of this type of intervention is technical simplicity consisting in no need for reimplantation of coronary artery ostia, thus decreasing the number of surgical manipulations and sutures on the aortic root, as well as reducing the risk of haemorrhage.

Аневризматическое расширение корня и восходящего отдела аорты является одной из самых сложных патологий сердечно-сосудистой системы. Выживаемость больных в течение 5 лет не превышает 13%. Особенно сложными с точки зрения хирургической реконструкции являются варианты массивного кальциноза корня аорты. В статье описан случай применения методики Florida Sleeve у больного с диффузным кальцинозом корня аорты, затрагивающим устья коронарных артерий. Важным преимуществом данного вмешательства является техническая простота, которая заключается в отсутствии необходимости реимплантации устьев коронарных артерий, что уменьшает количество хирургических манипуляций и швов на корне аорты, а также снижает риск кровотечения.

Keywords: Florida sleeve technique; aneurysm of the ascending aorta; aortic insufficiency; aortic root calcification; valve-sparing operations.

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References

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