Hybrid approach to treatment of a patient with a thoracoabdominal aortic aneurysm

Pokrovsky A.V., Alekyan B.G., Zotikov A.E., Ivandaev A.S., Maryan D.I., Kozhanova A.V., Kazennov V.V., Timina I.E., Ilyina M.V.

Institute of Surgery named after A.V. Vishnevsky under the RF Ministry of Public Health, Moscow, Russia

Described in the article is a clinical case report concerning staged management of a patient presenting with a thoracoabdominal aortic aneurysm. The first stage consisted in complete lower debranching with prosthetic repair of all visceral arteries and the right renal artery. The second stage was endovascular repair of the aortic aneurysm. The chosen approach made it possible to avoid clamping of the thoracic portion of the aorta, which favourably contributed to a decrease in the traumatic nature of the operative procedure, simultaneously preserving the radicality of treatment after the two-stage intervention.

KEY WORDS: thoracoabdominal aortic aneurysm, endoprosthetic repair of the aorta.

P. 165

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