Journal «Angiology and Vascular Surgery» • 

2018 • VOLUME 24 • №2

Surgical treatment of total thrombosis of an abdominal aortic endograft

Shlomin V.V., Kasyanov I.V., Drozhzhin I.G., Bondarenko P.B., Puzdryak P.D.

Vascular surgery department, municipal multimodality hospital №2, Saint Petersburg, Russia

Described in the article is a clinical case report regarding successful surgical treatment of total thrombosis of a stent graft in a high-risk surgical patient, having previously undergone endovascular repair of an abdominal aortic aneurysm by means of a unilateral stent graft with suprarenal fixation of its crown and femorofemoral crossover bypass grafting. 5 months after the operation, the patient began complaining of rest pain in his right leg and trophic ulcers of the foot. The findings of MSCT angiography revealed total thrombosis of the stent graft, to be later on followed by operative intervention, i. e. resection of an infrarenal abdominal aortic aneurysm with the removal of the stent graft, aortofemoral bifurcation prosthetic repair and graft-renal prosthetic repair on the left. The postoperative period was complicated by a transitory ischaemic attack. On POD 29, the patient was discharged in a satisfactory condition. 8 months later, the findings of the control MSCT angiography revealed thrombosis of the graft of the left renal artery, with the left kidney secondarily shrunken. However, the clinical biochemistry data showed no evidence of renal failure, thus suggesting that renal function was compensated exclusively at the expense of the right kidney.

KEY WORDS: stent graft thrombosis, endovascular repair, abdominal aortic aneurysm, stent graft removal, complications of EVAR.

P. 189-193

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