Journal «Angiology and Vascular Surgery» • 

2020 • VOLUME 26 • №3

Hybrid treatment of a patient with dissecting thoracoabdominal aortic aneurysm and single kidney

Shlomin V.V.1, Yurtaev E.A.1, Bondarenko P.B.2, Puzdryak P.D.1,3, Shloido E.A.1, Petrova K.A.3, Drozhzhin I.G.1, Gusinskiy A.V.2

1) Department of Vascular Surgery, Municipal Multimodality Hospital №2,
2) Department of Surgical Diseases, National Medical Research Centre named after V.A. Almazov under the RF Ministry of Public Health,
3) Department of General Surgery, North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg, Russia

Presented herein is a clinical case report regarding a repeat intervention for a type II dissecting thoracoabdominal aortic aneurysm treated by means of a hybrid technique in a 76-year-old male patient with a single kidney, having 9 years previously endured resection of an aneurysm of the infrarenal aortic portion. The first stage consisted in prosthetic repair of the thoracoabdominal aortic aneurysm by an oblique anastomosis, with the second stage (7 days thereafter) being endoprosthetic repair of the descending thoracic aorta. The findings of check-up computed tomography at 16 months postoperatively demonstrated no negative dynamics.

KEY WORDS: redo aortic surgery, thoracoabdominal aneurysm, aortic dissection, renal artery dissection, endoprosthetic repair of the thoracic aorta.

P. 178

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