[Hybrid approach to treatment of a patient with a thoracoabdominal aortic aneurysm]

A V Pokrovskiĭ; B G Alekian; A E Zotikov; A S Ivandaev; D I Mar'ian; A V Kozhanova; V V Kazennov; I E Timina; M V Il'ina

[Hybrid approach to treatment of a patient with a thoracoabdominal aortic aneurysm]

Angiol Sosud Khir. 2018;24(1):161-165.

[Article in Russian]

Authors

A V Pokrovskiĭ¹, B G Alekian¹, A E Zotikov¹, A S Ivandaev¹, D I Mar'ian¹, A V Kozhanova¹, V V Kazennov¹, I E Timina¹, M V Il'ina¹

Affiliation

¹ Institute of Surgery named after A.V. Vishnevsky under the RF Ministry of Public Health, Moscow, Russia.

PMID: 29688210

Abstract

Described in the article is a clinical case report concerning staged management of a patient presenting with a thoracoabdominal aortic aneurysm. The first stage consisted in complete lower debranching with prosthetic repair of all visceral arteries and the right renal artery. The second stage was endovascular repair of the aortic aneurysm. The chosen approach made it possible to avoid clamping of the thoracic portion of the aorta, which favourably contributed to a decrease in the traumatic nature of the operative procedure, simultaneously preserving the radicality of treatment after the two-stage intervention.

Publication types

Case Reports

MeSH terms

Aortic Aneurysm, Thoracic* / diagnosis
Aortic Aneurysm, Thoracic* / physiopathology
Aortic Aneurysm, Thoracic* / surgery
Aortography / methods
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation / methods*
Endovascular Procedures / methods*
Humans
Male
Middle Aged
Postoperative Complications / etiology
Postoperative Complications / prevention & control*
Renal Artery / surgery*
Risk Adjustment / methods
Tomography, X-Ray Computed / methods
Treatment Outcome
Viscera / blood supply