Vol. 26 No. 2 (2022)
CASE REPORTS

Clinical observation of endovascular thoracic aortic prosthetics in a patient with distal anastomosis aneurysm of a vascular prosthesis formed "end-to-side" after extraanatomic prosthetics

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  • N.S. Gorshkov,
  • N.R. Chernaya,
  • M.V. Parhomenko,
  • R.Sh. Muslimov,
  • V.S. Selyaev,
  • L.S. Kokov
N.S. Gorshkov
N.V. Sklifosovskii Research Institute for Emergency Medicine of Moscow Healthcare Department, Moscow
Bio
N.R. Chernaya
N.V. Sklifosovskii Research Institute for Emergency Medicine of Moscow Healthcare Department, Moscow; A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow
M.V. Parhomenko
N.V. Sklifosovskii Research Institute for Emergency Medicine of Moscow Healthcare Department, Moscow; A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow
R.Sh. Muslimov
N.V. Sklifosovskii Research Institute for Emergency Medicine of Moscow Healthcare Department, Moscow
V.S. Selyaev
N.V. Sklifosovskii Research Institute for Emergency Medicine of Moscow Healthcare Department, Moscow
L.S. Kokov
N.V. Sklifosovskii Research Institute for Emergency Medicine of Moscow Healthcare Department, Moscow; A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow; Sechenov First Moscow State Medical University, Moscow
Компьютерная томография органов грудной полости
DOI: https://doi.org/10.21688/1681-3472-2022-2-79-84

Published 2022-06-30

Keywords

  • Ankura,
  • case report,
  • stents,
  • surgical anastomosis,
  • vascular prosthesis

How to Cite

Gorshkov, N., Chernaya, N., Parhomenko, M., Muslimov, R., Selyaev, V., & Kokov, L. (2022). Clinical observation of endovascular thoracic aortic prosthetics in a patient with distal anastomosis aneurysm of a vascular prosthesis formed "end-to-side" after extraanatomic prosthetics. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 26(2), 79–84. https://doi.org/10.21688/1681-3472-2022-2-79-84

Copyright (c) 2022 Gorshkov N.S., Chernaya N.R., Parhomenko M.V., Muslimov R.Sh., Selyaev V.S., Kokov L.S.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

A clinical observation of successful prosthetics of an aneurysm of distal anastomosis of a vascular prosthesis of the thoracic aorta with a stent graft in a patient 24 years after extraanatomic bypass surgery with an end-to-side anastomosis for aortic coarctation is presented. During a routine examination, an aneurysm of the distal anastomosis of the vascular prosthesis was revealed in the patient. After further examination, thoracic aorta endoprosthesis was performed from vascular prosthesis to native aorta with Ankura 2020B120 stent graft (Lifetech Scientific Co., LTD. Shenzhen, China). Intraoperative results of endoprosthetics were assessed as good. The aneurysm of the distal anastomosis was not contrasted, the patency of the vessels of the aortic arch was preserved. According to the control computed tomography study performed 3 months after the operation, the aneurysm of the distal anastomosis is not contrasted, there is no dislocation of the prosthesis, there are no endolics. The above clinical observation demonstrates the effectiveness and safety of thoracic aortic endoprosthesis from a vascular prosthesis to a native aorta with anastomosis aneurysms of a vascular prosthesis, which allows avoiding complex and traumatic repeated open surgical intervention on the aorta and achieving good immediate and long-term treatment results.

Received 25 November 2021. Revised 29 December 2021. Accepted 31 January 2022.

Informed consent: The patient’s informed consent to use the records for medical purposes is obtained.

Funding: The study did not have sponsorship.

Conflict of interest: Authors declare no conflict of interest.

Contribution of the authors
Literature review: N.S. Gorshkov
Drafting the article: N.S. Gorshkov, N.R. Chernaya
Critical revision of the article: R.Sh. Muslimov, L.S. Kokov
Surgical treatment: N.S. Gorshkov, N.R. Chernaya, M.V. Parhomenko, V.S. Selyaev
Final approval of the version to be published: N.S. Gorshkov, N.R. Chernaya, M.V. Parhomenko, V.S. Selyaev, L.S. Kokov

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