Open AccessA METHOD OF RESECTION AND REPLACEMENT OF THE ABDOMINAL AORTA IN PATIENTS WITH INFRARENAL ABDOMINAL AORTIC ANEURYSMS AND SEVERE COMORBID CORONARY PATHOLOGY
Author(s) -
А. Е. Зотиков,
С. С. Ильин,
A.F. Kharazov,
Diana Marian,
А. В. Кожанова
Publication year - 2019
Publication title -
aterotromboz
Language(s) - English
Resource type - Journals
eISSN - 2658-5952
pISSN - 2307-1109
DOI - 10.21518/2307-1109-2019-1-115-120
Subject(s) - medicine , perioperative , abdominal aortic aneurysm , abdominal aorta , bypass grafting , cardiology , artery , surgery , aneurysm , coronary artery disease , abdominal surgery , aorta , peripheral resistance , radiology , hemodynamics , cardiac output
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.