Treatment of a patient with Crawford type III thoracoabdominal aortic aneurysm

Khairutdinov A.I., Yakubov R.A., Sharafutdinov M.R.

Cardiovascular Surgery Department, Emergency Hospital, Naberezhnye Chelny, Russia

Presented herein is a clinical case report regarding hybrid techniques successfully used in a patient suffering from a Crawford type III thoracoabdominal aortic aneurysm and DeBakey type IIIB aortic dissection. The first stage consisted in endoprosthetic reconstruction of the descending portion of the thoracic aorta, with the second stage including visceral debranching with endoprosthetic reconstruction of the thoracoabdominal portion of the aorta. As the final stage, the patient was subjected to debranching of brachiocephalic arteries, followed by endoprosthetic repair of the aortic arch. The chosen approach made it possible to avoid the use of extracorporeal circulation, aortic occlusion, and, consequently, prolonged postoperative recovery.

KEY WORDS: thoracoabdominal aortic aneurysm, aortic dissection, stent graft, aortic prosthetic reconstruction, hybrid techniques.

P. 169

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