A METHOD OF RESECTION AND REPLACEMENT OF THE ABDOMINAL AORTA IN PATIENTS WITH INFRARENAL ABDOMINAL AORTIC ANEURYSMS AND SEVERE COMORBID CORONARY PATHOLOGY
https://doi.org/10.21518/2307-1109-2019-1-115-120
Abstract
This article presents a clinical observation of a patient with a giant atherosclerotic abdominal aortic aneurysm and comorbid uncorrected coronary artery disease. Taking into account the threat of aneurysm rupture, we have chosena surgical intervention using methods that reduce the risk of cardiovascular events in the perioperative period: the distal-first technique allowed us to reduce the aortic clamping time, and the use of temporary axillofemoral bypass grafting reduced peripheral resistance and stress on myocardium.
About the Authors
A. E. Zotikov
Vishnevsky National Medical Research Center of Surgery, Federal State Budgetary Institution of the Ministry of Health
Russian Federation
Russian Federation
Dr. of Sci. (Med.), Professor, Leading Researcher, Surgeon of the Vascular Surgery Department
Tel.:+7 (499) 236–72–90
117997, Russia, Moscow, Bolshaya Serpukhovskaya Str., 27
S. S. Ilyin
Vishnevsky National Medical Research Center of Surgery, Federal State Budgetary Institution of the Ministry of Health
Russian Federation
Russian Federation
Cardiovascular Surgeon, a postgraduate student of Vascular Surgery Department Surgeon of the Vascular Surgery
Department,
Tel.: +7 (999) 870–26–45
117997, Russia, Moscow, Bolshaya Serpukhovskaya Str., 27
A. F. Kharazov
Vishnevsky National Medical Research Center of Surgery, Federal State Budgetary Institution of the Ministry of Health
Russian Federation
Russian Federation
Cand. of Sci. (Med.), Physician of Vascular Surgery Department
117997, Russia, Moscow, Bolshaya Serpukhovskaya Str., 27
D. I. Maryan
Vishnevsky National Medical Research Center of Surgery, Federal State Budgetary Institution of the Ministry of Health
Russian Federation
Russian Federation
Cardiovascular Surgeon, a postgraduate student of Vascular Surgery Department
Tel.: +7 (499) 236–72–90
117997, Russia, Moscow, Bolshaya Serpukhovskaya Str., 27
A. V. Kozhanova
Vishnevsky National Medical Research Center of Surgery, Federal State Budgetary Institution of the Ministry of Health
Russian Federation
Russian Federation
Anesthesiologists-Reanimatologists of Anaesthesiology and Reanimation Department
Tel.:+7 (499) 236–72–90
117997, Russia, Moscow, Bolshaya Serpukhovskaya Str., 27
References
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Review
For citations:
Zotikov A.E., Ilyin S.S., Kharazov A.F., Maryan D.I., Kozhanova A.V. A METHOD OF RESECTION AND REPLACEMENT OF THE ABDOMINAL AORTA IN PATIENTS WITH INFRARENAL ABDOMINAL AORTIC ANEURYSMS AND SEVERE COMORBID CORONARY PATHOLOGY. Aterotromboz = Atherothrombosis. 2019;(1):115-120. (In Russ.) https://doi.org/10.21518/2307-1109-2019-1-115-120
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