Endovascular repair of a descending thoracic aortic aneurysm: one-year follow-up results

Kazantsev A.N., Kokov A.N., Burkov N.N., Khaes B.L., Tarasov R.S.

Research Institute for Complex Problems of Cardiovascular Diseases, Kemerovo, Russia

The article deals with the results of successful surgical management of a male patient with a ruptured thoracic aortic aneurysm, posing particular problems as to deciding upon the scope and stages of surgical reconstruction, accompanied by describing the dynamics of clinical and diagnostic parameters, as well as the main events of the postoperative period. This clinical case report was characterized by additional difficulties due to the occurrence of subtotal haemothorax.

Also presented herein is a set of comprehensive measures making it possible to successfully complete open reconstruction of the thoracic portion of the aorta and to achieve a satisfactory outcome both during the in-hospital period and within one-year follow up. Besides, elucidated is the state-of-the-art of this problem in the world literature.

KEY WORDS: thoracic aortic aneurysm, haemothorax, thoracic endovascular aortic aorta, outcomes.

P. 107

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