Use of dura mater in surgery of aorta and arteries

: In the surgical clinic of Nizhny Novgorod medical academy and in specialized cardiosurgical hospital, from January 1979 to January 1999 the reconstructive operations in all arterial segments were performed in 1078 patients, 1238 dura mater's allogenic transplants of various length and shape were used. In 1072 patients the side plasty from 2 to 19 cm was performed, in 6 patients--arteries grafting with sagittal sinus. Positive immediate results in 971 (93.4%) patients were achieved. The absence of surgical effect or unsatisfactory outcome occurred in 69 (6.6%). 38 patients died in early postoperative period, total lethality was 3.5%. Systemic and local complications were seen in 131 (12.6%) patients. Long-term results in the period from 12 months to 19 years were studied in 683 patients (65.7% of all discharged patients). The results after operations with use of explants and dura mater were better than after endarterectomy and autovenous plasty.