A clinical case of simultaneous prosthetic repear of the aortic root, aortic valve with reimplantation of the coronary arteries, ascending section, arch and part of the descending aorta with prosthetics of the bcc - brachiocephalic trunk with valve-containing homograft in a patient with DeBekey type ii chronic aortic dissection

In patients over the age of 18, 6% needed homograft replacement within 10 years. Taking into account the planned volume of surgery, a cryopreserved vascular valve-containing homograft was chosen as a conduit. The classic approach providing exposure to the root, ascending section and arch of the aorta is median sternotomy. Considering the need for a single-stage intervention on the descending thoracic aorta, it was decided to use a transverse double-pleural thoracotomy of the "shell" type for better visualization.

We present a case of surgical treatment of a patient with DeBekey type II chronic aortic dissection, pronounced degenerative changes in the arch and descending aorta, and the development of severe aortic insufficiency against this background.

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