grekovВестник хирургии имени И.И. ГрековаGrekov's Bulletin of Surgery0042-46252686-7370Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia10.24884/0042-4625-2024-183-5-57-61grekov-2370Research ArticleОБЗОРЫREVIEWSСравнение клапансохраняющих методик Florida Sleeve и David procedure в хирургическом лечении патологии корня аортыComparison of valve-sparing techniques for surgical treatment of aortic root pathology: Florida Sleeve vs David procedurehttps://orcid.org/0000-0002-5170-4978ЭфендиевВ. У.EfendievV. U.

Эфендиев Видади Умудович, зав. отделением кардиохирургии, врач сердечно-сосудистый хирург

Санкт-Петербург

Efendiev Vidadi U., Head of the Department of Cardiac Surgery, Cardiovascular Surgeon

Saint Petersburg

vidadiue@gmail.comhttps://orcid.org/0000-0002-0476-2120НогиновВ. К.NoginovV. K.

Ногинов Владимир Константинович, врач сердечно-сосудистый хирург

Санкт-Петербург

Noginov Vladimir K., Cardiovascular Surgeon

Saint Petersburg

mrnoginov@mail.ruГородская Мариинская больницаРоссияMariinsky City HospitalRussian Federation20242008202418355761Copyright © Эфендиев В.У., Ногинов В.К., 20242024Эфендиев В.У., Ногинов В.К.Efendiev V.U., Noginov V.K.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.vestnik-grekova.ru/jour/article/view/2370

ВВЕДЕНИЕ. Такие реконструктивные операции на корне аорты (КА), как процедура David (Dd) и Florida Sleeve (FS), принципиально отличаются протезированием КА с реимплантацией устьев коронарных артерий в протез при операции Dd и сохранением всех нативных структур КА без реимплантации устьев коронарных артерий при операции FS. Обе операции эффективно редуцируют расширенное кольцо аорты, однако по сравнению с методикой Dd методика FS выполняется значительно реже.ЦЕЛЬ. Поиск и анализ литературных источников, в которых представлено сравнение результатов клапансохраняющихсопераций FS и Dd.МЕТОДЫ и МАТЕРИАЛЫ. Проведен поиск в базах данных PubMed и eLibrary с 2005 г. до 12.06.2023 г. по поисковым запросам. Публикации отобраны согласно алгоритму PRISMA.РЕЗУЛЬТАТЫ. По результатам поисковых запросов найдено 18 статей, в анализ включены 2 статьи, удовлетворяющие критериям отбора. Метаанализ не проводился по причине выраженной гетерогенности данных. В обоих исследованиях отмечается статистически значимое сокращение времени искусственного кровообращения (иК) и окклюзии аорты (ОА) при операции FS по сравнению с методикой Dd. Краткосрочные и отдаленные 5-летние результаты операций не продемонстрировали статистически значимого различия.ЗАКЛЮЧЕНИЕ. Операция FS может быть хорошей альтернативой методике Dd, особенно у пациентов старшей возрастной группы и высоким периоперационным риском.

INTRODUCTION. Such reconstructive operations on the aortic root as the David and Florida Sleeve procedures are fundamentally different in prosthetics of the aortic root with reimplantation of the ostiums of the coronary arteries into the prosthesis during David surgery and preservation of all native structures of the aortic root without reimplantation of the ostiums of the coronary arteries during Florida Sleeve surgery. Both procedures effectively reduce the dilated aortic ring, however, the Florida Sleeve procedure is performed much less frequently than the David procedure.The OBJECTIVE was to study and analyze literature sources that present a comparison of the results of valve-preserving Florida Sleeve and David procedures.METHODS AND MATERIALS. A search was conducted in PubMed and e-library databases from 2005 to 12.06.2023 for search queries. The studies were selected according to the PRISMA algorithm.RESULTS. According to the results of search queries, 18 articles were found, 2 articles satisfying the selection criteria were included in the analysis. The meta-analysis was not carried out due to the pronounced heterogeneity of the data. In both studies, a statistically significant shorter time of cardiopulmonary bypass and aortic occlusion takes when performing Florida Sleeve compared to David procedure. Short-term and long-term 5-year results of operations did not show statistically significant difference.

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The authors declare that there are no conflicts of interest present.