Journal «Angiology and Vascular Surgery» • 

2010 • VOLUME 16 • №1

A HYBRID OPERATION FOR CHRONIC TYPE III B AORTIC DISSECTION

Troitskyi A.V., Lysenko E.R., Klypa T.V., Shutova L.G., Gryaznov O.G.
Vascular Surgery Department №1 Centre for Cardiovascular and Endovascular Surgery under the Russian Federal Biomedical Agency,
Federal State Health Facility Clinical Hospital №119 of the Federal Biomedical Agency,
Khimki, Novogorsk, Russia

Presented herein is a clinical care report of a successful hybrid reconstruction (i.e., an open operation and endovascular intervention) for a chronic type III В aortic aneurysm in the setting of the renal and lower-limb arteries malperfusion syndrome. Of obvious interest are the circumstances of the operation performed in a 36-year-old male patient who was subjected to a simultaneous reconstruction of the supra- and inter-renal portion of the aorta and endovascular treatment for lower-limb chronic ischaemia. A detailed description thereof is followed by a brief review of the literature related to appropriate decision-making regarding the scope of the reconstruction in the pathology involved.

KEY WORDS: aortic dissection, hybrid operation, malperfusion syndrome.

P. 132

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