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Angiol Sosud Khir ; 24(1): 161-165, 2018.
Article in Russian | MEDLINE | ID: mdl-29688210

ABSTRACT

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.


Subject(s)
Aortic Aneurysm, Thoracic , Blood Vessel Prosthesis Implantation/methods , Endovascular Procedures/methods , Postoperative Complications/prevention & control , Renal Artery/surgery , Aortic Aneurysm, Thoracic/diagnosis , Aortic Aneurysm, Thoracic/physiopathology , Aortic Aneurysm, Thoracic/surgery , Aortography/methods , Blood Vessel Prosthesis , Humans , Male , Middle Aged , Postoperative Complications/etiology , Risk Adjustment/methods , Tomography, X-Ray Computed/methods , Treatment Outcome , Viscera/blood supply
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