Naberezhnye Chelny Emergency Hospital

History

2022: Hybrid prosthetics of thoracic and abdominal aorta

In Russia, for the first time, hybrid prosthetics of the thoracic and abdominal aorta were carried out. This was announced on February 1, 2022 by the press service of the Ministry of Health of the Russian Federation.

As part of this operation, the surgeons of the Emergency Medical Hospital (BSMP) of Naberezhnye Chelny actually replaced the largest vessel in the human body, conducting a complete hybrid prosthetics of the entire thoracic and abdominal aorta, preserving all its significant branches, from the heart to the beginning of the arteries of the limbs. The largest vessel in the human body was gradually restored under the sensitive guidance of the luminaries of the clinic.

For the first time in Russia, hybrid prosthetics of the thoracic and abdominal aorta were carried out

Due to the fact that the man who underwent the operation had three life-threatening factors (stratification, aneurysm and rupture of the aorta), total prosthetics were carried out in four stages. During their first, the chief surgeon of the hospital, Ramis Yakubov, removed blood spilled from the lumen of the stratified aorta into the left pleural cavity, which squeezed part of the lung and fell into the near-heart bag, interfering with the normal work of the heart.

At the second stage, surgeons took up the endoprosthesis of the aortic arc with the restoration of its trunks (subclavian and brachiocephalic). At the third stage, doctors performed endoprosthetics of the thoracic aorta, at the fourth stage, they carried out endoprosthetics of the abdominal department according to their author's methodology.

With the help of graphs, a ventral trunk and an upper mesenteric artery were predicted, which supplies blood to the intestine and pancreas. Also, using the patented NBC technic technique in the walls of the BSMP, surgeons formed a single aortic lumen. This was done in order to eliminate disturbances in the renal arteries that arose due to aortic dissection.

By the beginning of February 2022, the patient after the operation feels good and is recovering, the Ministry of Health said.^[1]

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