Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery

Open surgical aortic fenestration as a method of surgical treatmentof patients with aortic dissection

Authors: P.P. Kulichkov, V.S. Arakelyan

Bakoulev National Medical Research Center for Cardiovascular Surgery, Ministry of Health of the Russian Federation, Rublevskoe shosse, 135, Moscow, 121552, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.


UDC: 161.132-007.281-089

Link: Clinical Physiology of Blood Circulaiton. 2019; 16 (1): 5-10

Quote as: Kulichkov P.P., Arakelyan V.S. Оpen surgical aortic fenestration as a method of surgical treatment of patients with aortic dissection. Clinical Physiology of Circulation. 2019; 16 (1): 5–10 (in Russ.). DOI: 10.24022/1814-6910-2019- 16-1-5-10

Received / Accepted:  27.12.2017/30.11.2018

Full text:  


An aortic dissection is one of the most dangerous diseases in cardiovascular surgery. Conservative treatment usually is used as therapy of stable patients with aortic dissection without complications. In 30% of cases, this disease develops a syndrome of malperfusion visceral organs and kidneys, resulting in possible decompensation of the functions of these organs. Surgical treatment for aortic dissection are shown in complicated: in the case of aortic rupture, formation of aneurysms of the thoracic aorta, the development of the syndrome of malperfusion digestive organs, kidneys, spinal cord and lower extremities. Currently, there are many methods of treatment of aortic dissection and various surgical tactics in relation to this disease. Open surgical fenestration is one of the methods of surgical treatment of patients with aortic dissection complicated by development of syndrome of malperfusion of the abdominal cavity, kidneys or lower extremities. The concept of the method is based on creating a single lumen of the aorta by excision of the intimal delaminated in a certain segment of the aorta.


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About Authors

  • Pavel P. Kulichkov, Postgraduate;
  • Valeriy S. Arakelyan, Dr. Med. Sc., Professor, Head of Arterial Pathology Surgery Department;

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