Yu. V. Belov

Petrovsky National Research Center of Surgery, Moscow, Russia · Institute of Cardio-Aortic Surgery

Single-stage total aortic replacement represents a comprehensive approach for patients at high risk of aorta-related complications between procedures. It not only avoids staged surgical treatment but also facilitates quicker rehabilitation. Opting for a radical surgery in such cases can yield superior outcomes compared with a staged approach, makin...

Aortic root remodeling using the Florida sleeve technique was proposed as a simpler alternative to classical reconstructive interventions in patients with aortic root aneurysm without aortic insufficiency. We present a 10-year result of valve-sparing surgical treatment using the Florida sleeve technique in a patient with connective tissue dysplasia...

This paper describes surgical treatment in a 43-year-old female patient with liver uveal melanoma metastases. In 2016, the female patient noticed acute visual impairment. She was diagnosed as having a malignant choroidal neoplasm. The patient underwent brachytherapy. On April 15, 2022, a control examination that involved magnetic resonance imaging...

Aim To present the first experience of performing the Frozen Elephant Trunk (FET) surgery in patients with thoracic aorta disease using a new Russian hybrid stent graft “Soft Elephant Trunk”. Material and methods Between 2014 and 2021, 170 patients with thoracic aortic disease underwent complete aortic arch replacement using the FET technique. In 7...

A 38-year-old man with history of Crawford extent I thoracoabdominal aneurysm and chronic type B1,10 aortic dissection underwent a hybrid repair using the frozen elephant trunk technique. The patient was followed up annually, and type II endoleak of the descending thoracic aorta was diagnosed, leading to negative aortic remodeling. The endoleak was...

The use of an artificial circulation and endovascular technologies in the treatment of liver metastases of uveal melanoma is a highly relevant area. Uveal melanoma is a rare cancer from the uveal tract of the eye. The liver is the most common site of metastasis and is affected in 70-90% of cases, being the only site of metastasis in about 50% of ca...

AimTo evaluate the incidence of complications, including fatal outcomes, ischemic strokes, and transient ischemic attacks, associated with carotid endarterectomy (CEA) in patients categorized as low-, medium-, and high-risk based on their CarotidSCORE (carotidscore.ru).Material and Methods This prospective, multicenter study was conducted from Janu...

The article presents three clinical reviews of isolated hepatic perfusion using a heart-lung machine. The probability of postoperative complications was retrospectively assessed using risk stratification programs for adverse outcomes. The conclusion is made about the effectiveness of the presented software.

Aim To determine the effect of minimally invasive interventions on the quality of life (QoL), pain syndrome, and cosmetic effect in patients with a pathology of chest aorta as compared with a group of traditional access. Material and methods From 2016 through 2020, 77 of 226 (34%) patients with an aneurysm in the proximal chest aorta and mini-ster...

Background The present multicenter retrospective study included 7148 patients who underwent carotid endarter-ectomy (CEA) between 2010 and 2021. Based on the results of angiography (AG)/multislice computed tomography (MSCT) angiography, 3 types of carotid bifurcation were identified depending on the projection of the carotid sinus to the cervical v...

This review of the literature analyzes publications over the past five years on various problems associated with carotid endarterectomy: 1. Is the eversion or classical technique of surgery with plastic repair of the reconstruction area with a patch more effective? 2. Carotid endarterectomy or carotid angioplasty with stenting is more optimal? 3. W...

Background: The aim of this study was to assess predictors of technical complexity of minimally invasive aortic root repairs (MIARR) performed through J-shaped mini-sternotomies in patients with aortic root aneurysm. Methods: This study included 49 patients with aortic root aneurysm who underwent MIARR via an upper median J-shaped mini-sternotom...

Sternotomy is the most common surgical approach for cardiac surgery. Incidence of postoperative sternal diastasis and wound suppuration ranges from 0.11 to 10%. We present a variant of one-stage surgical treatment of patients with these postoperative complications. Surgical tactics and features of postoperative period are described in detail. Patho...

Uveal melanoma accounts for 80% of all ocular melanomas, and 30-60% of patients have metastases to the liver. A few patients are candidates for liver resection, and this disease is associated with poor prognosis. There are few data on optimal management of metastatic uveal melanoma. Isolated hepatic perfusion is a perspective method for regional tr...

Objective: To analyse safety and expediency of cardiac surgical technologies including cardiopulmonary bypass (CPB) in patients with locally advanced lung cancer and invasive tumors of the mediastinum. Material and methods: Cardiac surgical techniques and CPB were used in 23 patients (group 1) with locally advanced thoracic tumors between 2005 a...

Objective: To analyze the incidence and causes of mitral valve replacement in patients with obstructive hypertrophic cardiomyopathy (HCM). Material and methods: There were 172 patients (98 women and 74 men) with obstructive HCM and severe mitral valve insufficiency between November 2017 and May 2023. All patients complained of chronic heart fail...

Objective: To evaluate the effectiveness of two cardioplegia techniques in patients with severe myocardial hypertrophy undergoing septal myectomy or aortic valve replacement. Material and methods: A comparative pilot prospective single-center randomized study included 46 patients between 2022 and 2023. Patients were randomized into 2 groups: Del...

FIELD: medicine. SUBSTANCE: invention relates to medicine and can be used to predict surgical operations on the thoracic aorta from a J-shaped mini-sternotomy. In the preoperative period, a physical examination and CT of the chest with intravenous contrast are performed. The following indicators are identified in the patient and scored in points:...

FIELD: medicine. SUBSTANCE: invention relates to medicine, particularly to cardiovascular surgery. One-stage ascending aortic prosthesis and arthroplastic replacement are performed, ascending structure, an aortic arch and brachiocephalic branches are mobilized from adjoining tissues. For reconstruction one prosthesis is used, length of which corre...

Objective. To present our experience of single-stage repair of descending thoracic aorta (DTA) with concomitant pathology of heart and/or proximal thoracic aorta. Material and methods. We conducted a retrospective medical chart review of all patients who performed thoracic aortic repair and/or cardiac operations with concomitant descending thoracic...

At present, there are no studies on the analysis of the incidence of complications in patients with concomitant lesions of the coronary and internal carotid arteries (ICA) after combined operation of carotid endarterectomy (CE) and coronary artery bypass grafting (CABG) against the background of type 2 diabetes (T2D). However, there is no doubt tha...

At present, there are no studies on the analysis of the incidence of complications in patients with concomitant lesions of the coronary and internal carotid arteries (ICA) after combined operation of carotid endarterectomy (CE) and coronary artery bypass grafting (CABG) against the background of type 2 diabetes (T2D). However, there is no doubt tha...

Myocardial bridging is often detected during diagnostic coronary angiography in patients with congenital and acquired heart defects. In most cases, muscle bridging does not require surgical treatment. Myocardial bridging and tunnels causing compression of one or more major coronary arteries is a potential cause of myocardial ischemia in patients wi...

The authors report two clinical cases with similar stab wounds of the heart. The first patient underwent open wound closure, the second one - thoracoscopic suturing of the wound. The authors concluded that conversion may be unnecessary after diagnosis of heart injury if severe bleeding is absent.

Objective: Analysis of the outcomes after aortic root remodeling with aortic valve annuloplasty in patients with aortic root aneurysm and no severe aortic valve disease. Material and methods: There were 19 patients with connective tissue dysplasia, aneurysm of aortic root and/or ascending aorta and aortic regurgitation between September 2020 and...

The Ross procedure is aortic root replacement with pulmonary autograft ensuring optimal postoperative function of aortic valve. One of the most common complications of this surgery requiring reoperation is pulmonary autograft dilation. David procedure is preferred for correction. This method ensures all autograft-related advantages over artificial...

Objective: To analyze the outcomes of aortic arch debranching in hybrid thoracic aortic replacement. Material and methods: There were 107 patients who underwent hybrid thoracic aortic repair with debranching of supra-aortic vessels between 2015 and 2021. Patients underwent total and partial debranching (subtotal debranching and subclavian-caroti...

Objective: To analyze in-hospital and long-term results of eversion carotid endarterectomy (CEE), carotid endarterectomy with patch repair and carotid artery stenting (CAS) in patients with high bifurcation of common carotid artery. Material and methods: A retrospective multiple-center open study included 1983 patients who underwent internal car...

Objective: To analyze early and mid-term results of aortic root remodeling with aortic valve annuloplasty in patients with aortic root aneurysm and no severe aortic valve disease. Material and methods: There were 33 patients with connective tissue dysplasia, aneurysm of aortic root and/or ascending aorta and aortic regurgitation between Septembe...

The Kommerell’s diverticulum with right-sided aortic arch is a rare anomaly of the thoracic aorta with their right-sided position relative to the trachea and spine and aneurysmal dilatation of the descending thoracic aorta at origin of aberrant subclavian artery. The frozen elephant trunk procedure with intrathoracic debranching of supraaortic bran...

OBJECTIVES We present our first experience of using a new dissection-specific hybrid stent graft (SG) (the ‘Soft Elephant Trunk’) in the frozen elephant trunk technique, in patients with non-acute DeBakey type I aortic dissection. METHODS Between September 2016 and February 2021, patients with non-acute DeBakey type I aortic dissection underwent th...

Aim . To analyze the immediate and long-term outcomes of eversion and conventional carotid endarterectomy (CE) with patch angioplasty. Material and methods . For the period from February 1, 2006 to September 1, 2021, the present retrospective multicenter open comparative study included 25106 patients who underwent CE. Depending on the technique of...

The objective : to compare the effectiveness of visceral and renal protection methods during thoracoabdominal aortic (TAA) repair: left atrial-femoral bypass (LAFB) and cardiopulmonary bypass (CPB) in conjunction with selective perfusion (SP) of these organs. Subjects: 81 patients who underwent TAA repair were enrolled in retrospective analysis: LA...

Abstract Objective. The aim of study was to determine the tactics of choosing the optimal diameter of stent-graft in open hybrid repair of thoracic aorta based on the analysis of literature and the experience of Petrovsky National Research Centre of Surgery. Material and Methods. A hybrid approach using the frozen elephant trunk (FET) technique is...

Objective: To assess the possibilities of omentoplasty for prevention of complications after redo sternum osteosynthesis for traumatic rupture. Material and methods: The study included 53 patients with recurrent sternal diastasis. Greater omentum was additionally implanted in 19 (35.8%) cases to improve healing and reduce the risk of infectious...

OBJECTIVE To determine the optimal algorithm for choosing a cannulation strategy in minimally invasive thoracic aorta repair and to assess its safety. MATERIAL AND METHODS A retrospective cohort analysis included 189 patients with thoracic aortic disease who underwent minimally invasive surgical treatment since 2016. In all patients, the procedure...

Connective tissue dysplasia (CTD) is an urgent problem, especially in young and employable people. Damage to cardiovascular system and, in particular, aorta is predominant factor determining the incidence of various complications and mortality in patients with CTD. The authors report surgical treatment of aortic hypoplasia in an adolescent patient...

Post-infarction ventricular septal defect (VSD) is a rare but formidable complication of myocardial infarction following mortality rate up to 90% without invasive treatment. Surgical closure is preferred for VSD. The authors report successful surgical treatment of a patient with post-infarction LV aneurysm and residual post-infarction VSD in 5 year...

Objective: To evaluate the early outcomes of surgical treatment of heart valve disease and cardiac tumors via the right-sided minithoracotomy. Material and methods: There were 77 interventions via the right-sided minithoracotomy for the period from 2017 to March 2021 (29 men (37.7%) and 48 women (62.3%) aged 50.9±13 years (95% CI 48-53.9)). Hear...

Objective: To present our experience in the treatment of severe patients with mega aorta syndrome. Material and methods: There were 49 patients with mega aorta syndrome for the period from May 2015 to March 2021. All patients underwent total aortic replacement from sinotubular junction (with staged aortic root repair, if necessary) to abdominal...

Objective: To analyze the results of endocardial pulmonary vein cryoablation in patients with atrial fibrillation (AF) undergoing on-pump cardiac surgery. Material and methods: The authors report postoperative outcomes in 19 patients after on-pump coronary artery bypass grafting and/or heart valve surgery and endocardial pulmonary vein cryoablat...

There is more than 58-year experience of surgical treatment of patients with intracardiac myxomas at the Petrovsky National Research Center of Surgery. Primary delayed growth of the right and left atrial myxoma after 21 years and 5 months was observed only in 1 (0.36%) patient. Transthoracic echocardiography was used for diagnosis of tumors. Tumors...

Bleeding is a significant cause of complications and mortality in surgery for ascending aorta and aortic root disease. This is especially true after complex reconstructions associated with hypothermic circulatory arrest and long-standing cardiopulmonary bypass. The review is devoted to modern methods of hemostasis in reconstructive aortic root surg...

Background: To evaluate the effectiveness and safety of minimally invasive valve-sparing operations on the aortic root through J-shaped partial upper sternotomy and to conduct a comparative analysis of the results with a group of patients with the conventional approach using a propensity score matching analysis. Methods: Between 2016 to November 2...

Mini-thoracotomy is one of the most popular minimally invasive approaches. This approach is used in the treatment of congenital and acquired heart diseases and characterized less surgical trauma, intraoperative blood loss, pain syndrome severity, risk of infectious complications and better cosmetic results. Successful correction of atrial septal de...

Two cases of successful surgical treatment of bicuspid and tricuspid aortic valves using aortic root remodeling with aortic annu-loplasty are reported.