Surgical treatment of a patient with a ruptured Crawford type III thoracoabdominal aortic aneurysm

Vachev A.N., Chernovalov D.A., Dmitriev O.V., Kutsenko V.V., Lunina A.V., Gryaznova D.A., Italyantsev A.Yu.

Clinic and Chair of Faculty Surgery, Samara State Medical University of the RF Ministry of Public Health, Samara, Russia

Described herein is a clinical case report regarding surgical treatment of a patient presenting with a ruptured Crawford type III thoracoabdominal aortic aneurysm.

The patient was subjected to prosthetic repair of the thoracoabdominal aorta by the Coselli technique, as well as reduction of the aneurysmal sac in the thoracic and abdominal portions according to the authors’ technique. The operation was carried out with neither connecting the patient to a heart-lung machine nor use of pharmacological protection of the visceral organs. The sutures were removed on postoperative day 12 and the patient was discharged from hospital in a satisfactory condition.

KEY WORDS: thoracoabdominal aortic aneurysm, ruptured aortic aneurysm, aortic prosthetic repair, thoracic portion of the aorta.

P. 166

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