Journal «Angiology and Vascular Surgery» • 

2012 • VOLUME 18 • №3

A clinical case of endovascular prosthetic repair of a gigantic abdominal aorta aneurysm

Akchurin R.S., Imaev T.E., Komlev A.E., Lepilin P.M., Nikonova M.E., Medvedeva I.S., Pokidkin I.A.

Department of Cardiovascular Surgery, Federal State Facility «Russian Cardiological Scientific and Production Complex» under the Ministry of Public Health and Social Development of the Russian Federation, Moscow, Russia

To illustrate the present-day possibilities in treatment of aortic dissection we describe herein a clinical case report concerning successful prosthetic repair of a gigantic aneurysm of the infrarenal portion of the aorta with the Gore Excluder using an endovascular surgical approach in a patient running high risk associated with difficult anatomy of the abdominal portion of the aorta, iliac arteries, and accompanying diseases (left lung cancer, CAD, critical stenosis of the RCA. This was followed by balloon angioplasty with stenting of the RCA with Lekton stents with a good angiographic result.

EVAR has become an alternative to the conventional open surgery with lower risk of complications, shorter hospital stay, and decreased mortality rate, which was confirmed by the findings of international studies.

KEY WORDS: abdominal aortic aneurysm (AAA), endograft, EVAR, Gore Excluder, open surgery, endovascular interventions.

P. 126

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