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941828020012657115
www.iakardiologie.cz48438040010765133201214233274312354380428447495515563613632675690730769
PŘEHLEDOVÉ341200012660124182256312369444520587645
ČLÁNKY1008200012660115187259327395
/1424200012633
REVIEW1477200012662121191224282376
ARTICLES1874200012668131191224287342399458
Surgical34136001063171107146163198240271
treatment6273600106306698140168221253295327
of97036001063869
thoracic105536001062971111147189222240275
aortic134536001063877113145163197
pseudoaneurysm:15583600106336697138178219257299330371407443475529545
a2118360010638
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TAFA3404530012150105155212
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surgical710468001093685115166187227272293
intervention1026468001092171101146176222267317346368417468
must15174680010975125161191
be1732468001095197
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TAFA1349482001094596140192
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resternotomy504496001092973109139182212261310339387462502
or1021496001094978
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during3405100010951100130152202252
the610510001093080125
release75351000109297496142186221267
of1037510001095076
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the1887510001093080125
heart340524001094994136165197
and552524001094391142
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for647538001092676106
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with1844538001096788118168
a3405520010945
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graft,717552001095283129157192212
pericardial9565520010953102133156198244275328351396419
patch,1402552001095399130172224244
or1673552001095182
direct1783552001095274105152196229
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The876566001094494139
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types1366566001093074125170205
of1587566001094874
surgeries1676566001093584112162207236257301336
are340580001094372116
detailed472580001095095125168189210255306
in793580001092170
Table879580001094481132153198
310925800010946
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vary1312580001094386115160
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on1914580001094999
the340594001092979124
size47959400109355694139
and633594001094393143
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of1110594001094975
the1200594001093079124
TAFA.1340594001094493136186206
The1562594001094495140
average1717594001094385128158201251296
cardiopulmonary340608001094084114165186236287338359434484534578607653
bypass1009608001095193146190225261
time1286608001093051126172
was14746080010966110145
1041636608001094688136
minutes,1788608001097596146196340622001092973109128
and483622001094392143
the641622001093079124
average780622001094385128158201251296
aortic1091622001094392122154174214
clamping1321622001094060103177228249298348
time1684622001093050124170
was18696220010966109144
57340636001094691
minutes.450636001097596146196226271307326
Patients480650001094891121142188238268305
with810650001096688118169
an1004650001094394
anteriorly1123650001094494123168198220270300322365
located1513650001092272113158187232284
TAFA1823650001094494138189
close340664001094164116153201
to568664001093081
the676664001093183130
sternum834664001093668115146199251329
are1190664001094475122
considered1339664001094292145182204257305336383437
to1803664001093182
be19126640010953101
high-risk340678001095172124175205236258294337
patients703678001095297127149195247277314
for1043678001092778108
repeated1178678001092975128175219250295348
sternotomy,1552678001093668113144195246276326403445460
which3406920010966117138179229
entails593692001094596125170191212248
the865692001093080126
risk101569200109305187129
of1169692001094976
TAFA1269692001094595138189
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or1793692001095080
cerebral1897692001094185340706001092973124153197217
embolism.5737060010944118169218240260295369388
To976706001094487
prevent1079706001095080124166210259288
this138270600109307999134
situation,153170600109355685134177206226275324343
the1889706001093079124
authors340720001094494124175225255292
agree658720001094495125171217
on9017200010950101
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techniques1386720001093075117167218239291341387423
such1835720001093686127177
as340734001094379
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cardiopulmonary1084734001094084113164185235287337358433483533577606652
bypass1752734001095193145189225260
followed340748001092779102124176244291345
by712748001095296
deep8357480010952100148202
hypothermic1064748001095194148201232284331363441463506
circulatory159774800109416394136187210255286337368416
arrest,340762001094373103148184215234
left59376200109216794127
ventricular739762001094388138168197219260309331374404
venting,1162762001094388138167189239289308
inflation148976200109217198122165195216266316
of1824762001095076
an1919762001094393
endoclamp340776001094595146196237258301376427
aortic783776001094393123155176216
catheter1015776001094084114163209239284313
followed134477600109277698119169234279330
by1690776001095193
retrograde17997760010930741051341832140454001095080124175221
cardioplegia,2385454001094185114165187236288310356407429472491
or2901454001094979
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to3389454001093079
opening34924540010950102148198220270320
the2140468001093080127
chest2292468001094191138174205
(partial2523468001092577122152185206250272
sternotomy,2821468001093667112142193244274323400442457
thoracotomy,3303468001093081131162206247296327376452494509
clamshell2140482001094062105180216266312334355
incision)2514482001092171112133169190239290313
(5,284648200109267088
6,2953482001094665
8,3037482001094766
9,3122482001094663
11–13).3204482001094683125167207230247
The2280496001094596142
choice2446496001094090140162202247
of2717496001094976
the2817496001093080126
technique2967496001093075116166216237288338384
also3375496001094465100151
greatly3550496001095080125169198219263
depends2140510001095196148194245296332
on24945100010950100
the2617510001092979125
surgeon’s2764510001093685115166211262312331364
experience.3147510001094588140186216237283333374419437
If3607510001092148
any3678510001094393134
bleeding2140524001095275121168221243294346
occurs2512524001095092133184214251
while27905240010967118140162209
adhesions3025524001094496147194231252303354391
are3442524001094474120
being35885240010952100122173224
released,214053800109307699145190226273326346
the2512538001093081128
overall2666538001095094139170215237259
recommendation2951538001093076118168245321368420472517547569619671
is3648538001092258
to3732538001093080
insert2140552001092173109156187220
a23875520010944
Foley2451552001094494117164207
catheter2685552001094186116168214246292322
inside3034552001092172109130183230
the3290552001093081128
TAFA3445552001094596141193
and3664552001094596148
inflate214056600109217197122165195239
it2399566001092151
to2469566001093079
help2567566001095095117169
control2755566001094089139169198248270
the3044566001093080126
bleeding3189566001095173119165217238288339
(15).3547566001092568108133150
It2280580001092253
is2359580001092158
not24435800010950101132
possible26015800010952104140177198251273320
to2947580001093080
choose3054580001094191142194230277
one33575800010950102149
type3532580001093076130177
of3735580001095077
surgery2140594001093583111160204233277
which24325940010965114134174222
should2669594001093583132180201250
be2934594001095095
performed3044594001095095123152200229303347397
uniformly3456594001094997117143192220294315356
on2140608001094999
every2254608001094587131161205
patient.2475608001095194123144189238267286
The2777608001094494139
authors2932608001094392121170220249285
agree3233608001094393122166212
that3460608001093079122151
TAFA3626608001094593136187
repair2140622001092975126171192221
or2381622001094979
aortic2480622001094493123156177218
replacement2717622001093075127149192233278353399449479
depends3216622001095096148194245296332
on35676220010950100
the3687622001093080126
size214063600109355694138
of2294636001094874
the2384636001092978123
aortic2523636001094291121153173213
pseudoaneurysm2751636001095186131180231280323372417467496540576649
lumen3416636001092170144189238
and3670636001094292142
the2140650001093080126
overall2290650001095093137167211233254
quality25696500010950100144165186216262
of2856650001094976
the2956650001093080126
remaining3107650001092975150194215265286336387
aorta.3519650001094393123156200220
If3764650001092148
the2140664001093081127
aorta2294664001094394125158203
shows2523664001093687138205241
fragility2790664001092758103154176198219250296
and3112664001094495147
has3285664001095195131
a34426640010944
tendency35066640010930751271792252762140678001094186
to2252678001093079
tear,2357678001093075120150165
a25486780010943
Dacron26116780010960104145175225276
tube2913678001093080132179
graft3118678001095080125152185
replacement3329678001093075128150194235280356403454483
should2140692001093686136186207259
be2422692001095298
performed.2544692001095197127157207237312358410429
However,29976920010959109175220263308338353
if3374692001092148
the3445692001093080126
aortic3595692001094393123156177217
tissue214070600109315390127179227
is2394706001092159
healthy,2480706001095199144167199251294310
patch2817706001095399130171223
repair3068706001093077131177199230
with3326706001096891122174
Dacron35287060010961107149180232284
or2140720001094979
bovine22427200010951101144166216262
pericardium2526720001095197127149190234263314336385460
is3009720001092156
recommended.3087720001093075116165241316362412464509561581
For3690720001094392122
small21407340010936111154176197
TAFA2358734001094494138189
lumens,2568734001092170146192242277297
primary2885734001095282103178222252297
repair3203734001092975126171192221
is3445734001092157
a35227340010944
viable3585734001094365108160182227
solution.2140748001093685107157187208257308327
Despite24837480010960105141192214244288
a27877480010943
thorough2849748001093080130159209259309359
preparation3224748001095181126177222251295324345395445
before36857480010951972140762001092676105150
and2306762001094393144
during2466762001095099129150200250
surgery,2732762001093584114164209239284299
in-hospital304776200109217099150200235286307337381402
mortality34657620010975125154187231252273302347
is2140776001092157
as2216776001094379
much23147760010975124165215
as2548776001094479
412646776001094788
%.2745776001097191
Conservative40804540010953102153188235265312356386407451496
treatment4602454001093060106150180255302353382
is5010454001092157
used5093454001095086132184
for5303454001092677107
patients54364540010951961261473940468001094596125162
with4122468001096688118168
a43104680010943
small,43724680010936111155176197216
stable4608468001093667111162185230
TAFA,4858468001094595138189210
for5088468001092676106
those5214468001093080130166211
who54454680010967117167
are3940482001094371115
unsuitable4069482001094897131179199228271320341386
for4469482001092674103
reoperation4586482001092972121171216245287316336384433
or5033482001094977
endovascular5125482001094493142191232275309348396417459487
repair,3940496001092974126170191221235
or4191496001095079
those4286496001093080130165211
who45134960010966116166
refuse4695496001093075102152188233
surgery.4944496001093685115165210240286301
However,52614960010958109174219262306336351
most39405100010977129166198
studies4165510001093668120173195243280
do44725100010952103
not46025100010951103134
report4763510001093077131183214248
the5038510001093182130
number51955100010951102180233281312
of5534510001095178
patients3940524001095195125146192242272309
treated4268524001092959104148178222274
conservatively4561524001094189140175221251297341371392436481502546
(2,512652400109257089
5,5234524001094664
8–13).5317524001094693134175198215
All408053800109567799
authors4205538001094494125175226256294
came4525538001094085161208
to4759538001093079
the4864538001093081127
conclusion5017538001094190142183205255291312363414
that5457538001093081125155
each3940552001094589129179
patient4143552001095195125146191242271
must44375520010976125161192
be4652552001095197
discussed4773552001095072107148198234269315367
by5163552001095193
a52805520010943
cardiac5342552001094084114165186230270
interdisciplinary3940566001092273104150181234256293336358411434456507553583631
team4597566001093177122200
of4824566001095078
experts4929566001094690144192223257295
and5251566001094496149
each5427566001094691134185
treatment3940580001093061108153184261309361391
must43585800010977128165197
be45825800010952100
tailored470958000109307698120172203250303
individually5039580001092273126148194216269321366388410455
(2,552058000109277392
5,3940594001094664
6,4023594001094665
8–13).4107594001094694135176199216
In-hospital3940621001212480114171228268325350384434459
mortality44226210012183140174211260285309343394
and48396210012149105163
survival5025621001214095129181206255305329
In-hospital4080636001092272101153202238289311341385407
mortality45096360010976126156188233254275305350
of4882636001094976
surgical4981636001093585114165186227271292
TAFA5296636001094594138189
repair55086360010929743940650001095195116145
ranged4101650001092972122172218269
between4386650001095197127195239285335
647376500010946
%47946500010970
and4880650001094393144
415040650001094586
%,5137650001097191
and5243650001094393144
survival54036500010935841131591813940664001094386107
rates4062664001092972101145180
after4257664001094369101145174
surgery4446664001093584113162207236281
reached4742664001092973116156205250301
945058664001094592
%,5160664001097090
795265664001094690
%,5365664001097090
and5470664001094392142
683940678001094693
%40456780010971
at4135678001094373
1,4227678001094661
5,4307678001094664
and4390678001094393145
104554678001094688
years,4662678001094287130160197216
respectively.4897678001092975111162208250282303347391413456471
Factors3940705001214994140176232266307
predicting4270705001215791142200225271307331387444
complications4738705001214599184242267291337386420444500557597
and39407190012148105162
mortality41267190012183139173210260285309343394
The4080734001094596142
main42427340010975118139190
predictors4451734001095282127179200241273322352389
for4860734001092676106
complications4986734001094089164216238259300344373394444495530
of5536734001095076
the3940748001093079125
surgical4081748001093584114164185226270291
approach4388748001094394146176225269309359
were47637480010966111140185
established4964748001094581112156207229250285335380432
as5412748001094378
follows:5506748001092776394076200109214292158194213
active4169762001094384116137181225
infective441176200109217197143184216237281325
endocarditis,4753762001094595146196238282312362384414435470490
New52597620010959105171
York5446762001094994124166
Heart39407760010959105148178211
Association4175776001095592128178219240284313334384435
(NYHA)4634776001092684133193248273
class4931776001094162105141177
III–IV,513277600109214365112136187201
urgent5357776001095079130176226256
Tab.34063001124992147170
3.52863001125074
Peri-64764001074379105123150
and81364001074592137
post-procedural96664001074591121148172218244288326363408454479522540
details152364001074583110153171189219
Intervention1226830098216896138167211252299327348394440
(%)16838300982490112
Mean259278009866109150197
CPB28057800984792138
time25898800982849118160
(min)27658800982491112159181
Mean325378009866109150197
aortic34667800984187116147168204
clamping3110880098365799167215236283330
time34568800982849118160
(min)36328800982591112159181
IHM39787800982176143
(%)39948800982490112
Survival42587800984287117160182223265286
rate4218880098287098140
1y43748800984380
(%)44718800982490112
Survival47067800984287117160182223265286
rate4665880098287098140
5y48218800984382
(%)49198800982490113
Survival52057800984287117160182223265286
rate5142880098287098140
10y52988800984384125
(%)54408800982490112
Atik3711060095477188122
et51010600953964
al.5921060095365368
(8)6771060095215980
Tube122610100953775119160
graft140310100954467105126154
77157510100953978
Repair/patch122611100954080124162179202228271308333367410
23165411100953978
173263410600953972111
±2762106009548
74282810600953973
112333010600953970104
±3451106009548
50351710600953977
64031106009539
94436110600953980
74481210600953973
60530810600953979
Dumont37114100955295161204248272
et66114100953964
al.7421410095365468
(9)8281410095215878
Dacron122612600955288125149191234
graft147812600954367105126154
45165012600953976
Bovine122613600954084120138181220
pericardial146413600954484108126162199223266283319336
patch181813600954481106140183
36201913600953978
Homograft122614600955094160204248272309331359
91603146009539
Primary12261560095406381146183207245
closure14891560095365396126168192231
91737156009539
178263414100953972110
±2761141009548
51282714100953974
38334414100953978
±3439141009548
18350514100953974
18401314100953974
N/A434014100955180122
N/A478714100955180122
N/A528614100955180122
Katsumata37118000954078102134176242278303340
et72818000953964
al.8101800095365368
(6)8951800095215979
Direct12261700095526993131168196
suture14391700095307298141164203
repair166017000952362106143160184
50186217000953977
Root/AA122618000954084128152183226275
homograft151818000954386153196241265302323352
40188718000953980
Root/AA122619000954084128152183226275
Dacron151819000955288125149191234
graft177019000954367105126154
10194219000953974
N/A270618000955180122
N/A340118000955180122
20401118000953978
80436118000953979
N/A478718000955180122
N/A528618000955180122
Malvindi37122000956299116153171213258275
et66322000953964
al.7452200095365368
(10)8302200095215793113
Direct12262050095526993131168196
suture14392050095307298141164203
63166020500953977
Bentall122621500954080123148185202219
21146221500953975
AAR122622500954796136
12138022500953973
ArchR122623500954771106149190
41433235009539
152263322000953973110
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et66327900953964
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AA122626900954796
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proximal138526900954468111145162228264281
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AVR122628900954785126
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tube165535800952467112152
grafts182435800954468105126155186
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or180636800954367
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Sullivan3713830095377997113130167204247
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et78541200953964
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Graft122639700955074112133161
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root159640700952366110134
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N/A433941200955180122
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INTERVENČNÍ341804001071978123168215263308366420478499
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AKUTNI936804001075299157202263284
KARDIOLOGIE12418040010745103150211232295337397456477520
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Interv188580400107196895137164208
Akut2112804001075391139167
Kardiol.2299804001074587114162181229248264
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