Ways to Correct Indications for Surgical Treatment of Atherosclerotic Descending Aortic Aneurysms

Vladimir Petrovich Krylov; Nikolay Andreevich Manak; Valentina Nikolaevna Gayduk; Nadezhda Vladimirovna Mankevich; Leonid Ivanovich Reut

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Ways to Correct Indications for Surgical Treatment of Atherosclerotic Descending Aortic Aneurysms

机译：纠正动脉粥样硬化性降主动脉瘤的手术指征的方法

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Recent studies suggest that the development of atherosclerotic descending aortic aneurysms (DAA) is a complicated process, which occurs due to a polymorphic nature of aortic wall abnormalities. They overlap and contribute to a wide variety of clinical manifestations. The inflammatory process may be the main reason for a rapid growth and rupture of the aneurysm. It also involves a mechanism of complex adhesion comprising of acute-phase proteins to low-density lipoproteins (LDLPs) as atherosclerotic lesions. This process occurs in the presence of connective tissue disorders, aortic wall focal cystic medianecrosis, poor management of arterial hypertension, aging, and reduced compliance. Therefore, the surgical treatment modality to treat DAA becomes less appealing. Additionally, it is not feasible to make indications for surgery based solely on linear aneurysmal diameter. However, medical correction has no contraindications for use.

机译：最近的研究表明，动脉粥样硬化降主动脉瘤（DAA）的发展是一个复杂的过程，这是由于主动脉壁异常的多态性引起的。它们重叠并有助于多种临床表现。炎症过程可能是动脉瘤快速生长和破裂的主要原因。它还涉及复杂的粘附机制，其中包括急性期蛋白与低密度脂蛋白（LDLP）作为动脉粥样硬化病变。该过程在结缔组织疾病，主动脉壁局灶性囊肿性坏死，动脉高血压管理不善，衰老和顺应性降低的情况下发生。因此，用于治疗DAA的外科治疗方式变得越来越不吸引人。另外，仅基于线性动脉瘤直径来进行手术指征是不可行的。但是，医学校正没有使用禁忌症。

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《Advances in Surgical Sciences》 |2017年第3期|共5页
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Vladimir Petrovich Krylov; Nikolay Andreevich Manak; Valentina Nikolaevna Gayduk; Nadezhda Vladimirovna Mankevich; Leonid Ivanovich Reut;
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1. Surgical treatment of an aneurysm involving ascending aorta, aortic arch, and a rupture of a descending aortic aneurysm 26 years following acute type A aortic dissection [J] . Christian Kuhn, Omke E. Teebken, Jiirgen Weidemann, The Journal of Thoracic and Cardiovascular Surgery . 2006,第1期

机译：急性A型主动脉夹层切除术后26年的外科治疗涉及升主动脉，主动脉弓和降主动脉瘤破裂
2. Surgical treatment of an aneurysm involving ascending aorta, aortic arch, and a rupture of a descending aortic aneurysm 26 years following acute type A aortic dissection [J] . Christian K??hn, Omke E. Teebken, J??rgen Weidemann, The journal of thoracic and cardiovascular surgery . 2006,第1期

机译：急性A型主动脉夹层切除术后26年的外科治疗涉及升主动脉，主动脉弓和降主动脉瘤破裂
3. A Five-Year Experience of Sparing Treatment of Descending Aortic Atherosclerotic Aneurysms [J] . Vladimir Petrovich Krylov, Alexander Gennadyevich Mrochek, Valentina Nukolaevna Gayduk, World Journal of Cardiovascular Surgery . 2016,第4期

机译：备用治疗降主动脉粥样硬化性动脉瘤的五年经验。
4. Virtual Stent Grafting in Personalized Surgical Planning for Treatment of Aortic Aneurysms Using Image-Based Computational Fluid Dynamics [C] . Guanglei Xiong, Charles A. Taylor International conference on medical image computing and computer-assisted intervention;MICCAI 2010 . 2010

机译：基于图像的计算流体动力学在个性化手术计划中的虚拟支架移植术治疗主动脉瘤
5. Polymeric endo-aortic paving (PEAP): Initial development of a novel treatment for abdominal aortic aneurysms [D] . Ashton, John H. 2010

机译：聚合主动脉内铺路（PEAP）：腹主动脉瘤的新型治疗方法的初步开发
6. Systematic review of endovascular stent grafting versus open surgical repair for the elective treatment of arch/descending thoracic aortic aneurysms [O] . Andrew McCarthy, Joanne Gray, Priya Sastry, 2021

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7. Surgical treatment of an aneurysm involving ascending aorta, aortic arch, and a rupture of a descending aortic aneurysm 26 years following acute type A aortic dissection [O] . Kühn Christian, Teebken Omke E., Weidemann Jürgen, 2006

机译：急性A型主动脉夹层切除后26年的外科治疗涉及升主动脉，主动脉弓和主动脉降主动脉瘤破裂

Ways to Correct Indications for Surgical Treatment of Atherosclerotic Descending Aortic Aneurysms

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