Journal «Angiology and Vascular Surgery» • 

2009 • VOLUME 15 • №4

Endovascular prosthetic repair of the infrarenal portion of the aorta with the Aorfix bifurcated stent graft

Chernyavskii A.M., Karpenko A.A., Sean McManus, Generalov M.I., Chernyavskii M.A., Starodubtsev V.B., Edemskii A.G., Shermatov A.M.

Centre for Surgery of the Aorta, Coronary and Peripheral Arteries Federal State Facility «Novosibirsk Scientific Research Institute for Circulatory Pathology named after Academician E.N. Meshalkin» under the Federal Agency for High-Technological Medical Care Novosibirsk, Russia

Reconstructive surgery for abdominal aortic aneurysms (AAA) currently remains one of the most complicated and dramatic divisions of the present-day vascular surgery. On the one hand, this is accounted for by the increased prevalence of the disease due to both improved diagnosis and a prolonged life span of the population, and hence more frequent occurrence of abdominal aortic aneurysms. On the other hand, the conventional surgical treatment is known to be associated with a severe surgical injury and impairments of haemostasis on the background of a wide variety of accompanying diseases in patients who typically appear to be elderly and aged, thus sending us in search of less traumatic and more sparing techniques, with the endovascular aortic prosthetic repair being an encouraging example thereof. The recent advent of stent grafts has made it possible in the majority of cases to substantially avoid an otherwise inevitably traumatic and prolonged abdominal operation, which is particularly important in elderly and aged patients presenting with a severe concomitant pathology. The authors report herein a clinical case of successful endovascular prosthetic reconstruction of the infrarenal portion of the abdominal aortic aneurysm by means of the Aorfix bifurcated stent graft in a 78-year-old female patient.

KEY WORDS: abdominal aortic aneurysm, aortic stenting.

P. 131

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