Severe aortic stenosis still remains a widespread form of valvular heart disease1. Innovative cardiac techniques, such as transcatheter aortic valve replacement (TAVI), require morphometric analysis of the aortic root2,3 annulus, sinus of Valsalva, and ascending aorta.\n\nResults\nThe study population
comprised 80 men and 97 women (age: 82 ± 6 years. Aortic root is a complex and interconnected structure. Some components of the aortic root are posterior (noncoronary) sinuses, as well as the right and left coronary sinuses of Valsalva. Within the norm, the right coronary artery and the left coronary artery arise from the coronary sinuses4. Precise evaluation of the height of the Valsalva sinuses and the coronary ostia is necessary when planning endovascular interventions, predicting and preventing complications5,6. Morphometric analysis of the aortic root allows to estimate the height of the aortic sinuses and the height of the coronary ostia using specific measurements. Computed Tomography (CT) is a gold standard for assessing aortic root7 and conducting appropriate assessments.
The aim of the study is to conduct a morphometric analysis of the height of the Valsalva sinuses in men with severe aortic stenosis and to test predictive
modeling of the height of the Valsalva sinuses based on anthropometric and age differences.

UDC: 611.132.2:616.132.2:616.132.11]-055.2-073.756.8

The most common form of cardiovascular disease in Ukraine is coronary heart disease, which is characterized by damage to the coronary arteries. The height of the aortic sinuses and the height of the coronary arteries are assessed when planning interventional procedures and cardiac surgery. Computed tomography can verify structural changes in the coronary arteries and morphometrically evaluate the components of the aortic sac. The purpose of the study: to measure the height of the coronary arteries orifice; height of the aortic sinuses in women with structural changes of the coronary arteries using computed tomography and assess the interdependence of measurements with anthropometric indicators (age, height, weight, body mass index, body surface area). Computed tomography-angiography of the chest of females with coronary arteries were processed. Statistical analysis: Shapiro-Francia test
(correctness of distribution), Student's t-test (comparison of the height of the coronary arteries and the height of the aortic sinuses); Pearson's linear correlation; Fisher's multifactorial regression analysis. The study found a direct correlation between height and measurability in women with coronary artery disease. The value of the growth rate was directly correlated with the height of the right aortic sinus (r=0.85, p=0.001), with the height of the lower edge of the right coronary artery orifice (r=0.74, p=0.01), the height of the upper edge of the left coronary artery orifice (r=0.67, p=0.03), the height of
the upper edge of the right coronary artery orifice (r=0.67, p=0.03). It is proved that with increasing body surface area, the parameters of the right aortic sinus decrease: the inverse strong correlation r=-0.83, p=0.002. Significant direct relationships have been established between most of the measured components of the aortic root. Multifactor regression analysis showed a proven strong effect of anthropometric data and age on the height of the right aortic sinus: R=0.96, at p=0.009 (according to Fisher). This made it possible to build a model for predicting the height of the right aortic sinus depending
on anthropometric and age parameters. Thus, in women with structural lesions of the coronary arteries, the increase in height correlates with an increase in the height of the right aortic sinus, the height of the coronary arteries orifice. An increase in body surface area correlates with a decrease in the height of the right aortic sinus in women with structural lesions of the coronary arteries.

The optimal choice of landing zone of the aorta is the key to good long-term results of endovascular treatment on the descending thoracic aorta. In patients with Type B aortic dissection and retrograde dissection to the aortic arch, arterial debranching of the aortic arch branches allows to form a safe landing zone and reduce the risk of antegrade endoleak formation and retrograde dissection.

• To analyze chest penetrating chest wounds with heart injury by native computed tomography (CT).
• To differentiate groups of patients who need urgent surgery (life-saving procedures) at the mobile military hospitals and who might be safely transported to the specialized cardiac surgery departments without previous urgent surgical procedures. 

Introduction. Patients with acute myocardial infarction should be treated with early revascularization. Patients over 73
years have a higher risk of infarct-related cardiogenic shock, which is a leading cause of lethality. Unfortunately, little
is known about myocardial revascularization care for elderly people in Ukraine. We presented a 92-year-old lady with
an acute chest pain case report, which was not revealed by analgesics.
Important clinical findings. Coronary angiography revealed thrombotic occlusion of the distal segment of the left anterior descending artery (LAD) and floated thrombus in LAD mid-segment; stenosis of the left circumflex artery (LCx) close to the first obtuse marginal artery (OM1).
The main diagnosis. Acute myocardial infarction with ST-segment elevation of the left ventricle anterior wall (anteriorSTEMI). Calcific aortic valve disease, severe aortic valve stenosis, significant mitral and tricuspid valve regurgitation,
pulmonary hypertension. Heart failure with reduced LVEF (<40%), NYHA class III symptoms.
Intervention. The decision was to perform urgent stenting in LAD and balloon angioplasty in LCx. Successful hospital discharge was after 14 days.
Conclusions. Take-away lessons: Elderly patients with acute myocardial infarction can be successfully treated in Ukraine. Age and comorbidities are not a contraindication for early myocardial revascularization.