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CNAA / Theses / 2017 / May /

Сlinical morphology of the vasculonervous apparatus of the thoracic aorta


Author: Hacina Tamara
Degree:doctor habilitat of medicine
Speciality: 14.00.02 - Human Anatomy
Year:2017
Scientific consultants: Mihail Ştefaneţ
doctor habilitat, professor, Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova
Anatol Ciubotaru
doctor habilitat, professor, Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova
Institution: Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova

Status

The thesis was presented on the 24 May, 2017
Approved by NCAA on the 31 May, 2017

Abstract

Adobe PDF document – 4.74 Mb / in romanian

Thesis

CZU 611.135+616.135-089+616.12-008.313.2

Adobe PDF document 9.46 Mb / in romanian
237 pages

Keywords

ascending aorta, fat body, vasa vasorum internae, postoperative complications, glomus

Summary

Thesis structure: the work is presented on 206 pages and includes an introduction, 6 chapters, results discussion, conclusions and recommendations, bibliography from 331 sources, 37 tables, 110 figures, and 7 annexes. 39 scientific publications have been made on the basis of the thesis. Key words: ascending aorta, fat body, vasa vasorum internae, postoperative complications, glomus. Field of study: Human Anatomy. The aim of the work: Identification of the specific features of the neurovascular apparatus and morphological organization of the thoracic aorta conducive to preventing of the postoperative complications in cardiovascular surgery and the possible diseases of the aorta.

Objectives of thesis: Obtaining of data on clinical importance of morphological organization of the thoracic aorta. Research on applied aspects of the thoracic aorta vascularization and lymph drainage.

Interpretation of new data referring to the reflexogenic areas of the aorta. Novelty and scientific authenti-city: For the first time the following data were emphasized: a) regional specific features of the vascular and lymphatic apparatus of the thoracic aorta with clinical approach; b) variability of the fat body of the ascending aorta, its components and specific features of its vascularization; c) variability of location and shapes of glomic structures of the ascending aorta, their age characteristics and sources of blood supply; d) variability of the left vagus and recurrent laryngeal nerves syntopy.

Principally new results to science and practice: For the first time the morphological argumentation of postoperative complications in cardiovascular surgery were described. The reflexogenic area of the ascending aorta was argued morphologically. New surgical tactics were recommended to reduce postoperative complications. The study of functional morphology of the subepicardic fat bodies has been based.

Theoretical significance and practical importance of the work: A new view of applied morphology of blood supply, lymph drainage and nervous apparatus of the aorta can be used in the study of functional morphology of the cardiovascular apparatus and pathogenesis of cardiovascular disorders; in clinical and experimental research of the heart and aorta; in cardiac and thoracic surgery for prevention of postoperative complications; in developing new methods of treatment and prophylaxis of vascular diseases; in writing textbooks on anatomy, histology, angiology, cardiology, cardiac and thoracic surgery for medical students and postgraduate studies; in forensics.

Applied scientific problem of major importance solved in the thesis: Morphological argumentation of possible ways of the solving the urgent problems of cardiovascular surgery.

Implementation of the results of scientific research: The research results are used for improvement of clinical outcome in the Department of Cardio-thoracic Surgery, Transplantation of heart and vascular surgery at the University of Medicine in Hanover, Germany; in activity of Department of Cardiovascular surgery of Republican Clinical Hospital; in educational and training process at the Departments of human anatomy, topographical anatomy and operative surgery of SUMF “Nicolae Testemitsanu”.