Aortic distribution: causes and results of emergency operations

Tamer Al Alami, Belov Yuri Vladimirovich, Kosenkov Alexander Nikolaevich

Thoracic aortic aneurysms are currently a socially significant problem. This is due to the high mortality rate after the development of complications of this disease – aortic dissection (RA), and the impossibility of conservative treatment. According to modern literature, the incidence of this pathology is about 10.4 per 100,000 population in economically developed countries. In countries with low levels of health care, the frequency may be higher due to the lack of a sufficient level of diagnosis of the population. The causes of this pathology are different. With aneurysms of the ascending aorta (ABA), idiopathic connective tissue dysplasia is most common, and with lesions of the thoracoabdominal department – atherosclerosis. In the studies of a number of authors, a fairly low frequency of coronary vascular damage by the atherosclerotic process in ABA was also noted. At the same time, the frequency of combined aortic valve disease (AC) reaches 5.9 per 100,000 population, i.e. more than half of the cases.

Keywords:mitral regurgitation, Aortic regurgitation, aortic aneurysm, Bentall-deBono operation.