Hybrid intervention for a ruptured thoracoabdominal aortic aneurysm

Kochkina K.V., Sidorenko A.V., Myznikov A.V., Usik G.A., Shtark A.A., Kochkina T.A., Pustovoitov A.V., Protopopov A.V.

Regional Clinical Hospital, Krasnoyarsk, Russia

A ruptured thoracoabdominal aortic aneurysm is an urgent situation requiring emergency surgery during which it is necessary to decrease the scope of the intervention in a patient at an extremely high surgical risk. A combination of surgical and endovascular techniques makes it possible to minimize surgical injury, blood loss, to shorten the duration of internal organs ischaemia, to reduce the risk of paraplegia.

Presented herein are the results of emergency hybrid intervention for a ruptured thoracoabdominal aortic aneurysm, accompanied and followed by description of the technical aspects of performing the surgical and endovascular stages. The early postoperative period was complicated by thrombosis of the left superficial femoral artery on the background of atherosclerotic lesions, which was successfully eliminated by means of endovascular intervention with endovascular prosthetic repair. After 10 months, the patient underwent a cardiosurgical intervention.

Combining surgical and endovascular techniques made it possible in an emergency situation to save the patient’s life and to provide its good quality in the remote period of follow up (4 years after the hybrid operation).

KEY WORDS: thoracoabdominal aortic aneurysm, aneurysmal rupture, hybrid intervention, endovascular intervention, endovascular prosthetic repair.

P. 176

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