Journal «Angiology and Vascular Surgery» • 

2011 • VOLUME 17 • №3

Extra-anatomical bypass grafting from the ascending to the descending aorta combined with removal of the thoracic-aorta stent graft and a para-aortic abscess following endoscopic repair of the descending portion of the thoracic aorta

Arakelyan V.S., Gamzaev N.R., Chshieva I.V., Grigoryan G.R. Papitashvili V.G., Gidaspov N.A., Pyshakov A.V. Shchanitsyn I.N., Siradze I.V.
Arterial Pathology Surgery Department A.N. Bakulev Scientific Centre for Cardiovascular Surgery under the Russian Academy of Medical Sciences, Russia, Moscow

The outcomes of reconstructive repair operations for aneurysms of the descending portion of the thoracic aorta typically appear to be relatively satisfactory. However, a certain cohort of patients presenting with the pathology concerned require repeated secondary interventions due to the development of false aneurysms in the area of the anastomosis and infection of the synthetic vascular stent graft, with the number of such patients steadily increasing with each year. The authors describe herein a clinical case report regarding successful treatment of a patient diagnosed with an infected pseudoaneurysm of the descending portion of the thoracic aorta after an endovascular repair operation. This case report demonstrated a present-day approach to appropriate treatment of patients presenting with the pathology involved.

KEY WORDS: aortic aneurysm, stent graft, infection.

P. 145

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