RESUMO
In pronounced concomitant pathology and high risks of open operative treatment endovascular prosthetic repair of the abdominal aorta is a method of choice. Presented herein is a clinical case report concerning successful surgical treatment of a patient with an aneurysm of the infrarenal portion of the aorta and high risk of open operative treatment. The patient underwent unilateral endovascular prosthetic repair of the abdominal aortic aneurysm and crossover femoro-femoral bypass grafting with a good postoperative outcome.
Assuntos
Anastomose Cirúrgica/métodos , Aorta Abdominal , Aneurisma da Aorta Abdominal , Implante de Prótese Vascular/métodos , Artéria Femoral , Complicações Pós-Operatórias/prevenção & controle , Idoso , Anastomose Cirúrgica/efeitos adversos , Angiografia/métodos , Aorta Abdominal/diagnóstico por imagem , Aorta Abdominal/fisiopatologia , Aorta Abdominal/cirurgia , Aneurisma da Aorta Abdominal/diagnóstico , Aneurisma da Aorta Abdominal/fisiopatologia , Aneurisma da Aorta Abdominal/cirurgia , Prótese Vascular , Implante de Prótese Vascular/efeitos adversos , Artéria Femoral/diagnóstico por imagem , Artéria Femoral/fisiopatologia , Artéria Femoral/cirurgia , Tomografia Computadorizada Quadridimensional/métodos , Humanos , Cuidados Intraoperatórios/métodos , Masculino , Planejamento de Assistência ao Paciente , Risco Ajustado , Stents , Resultado do TratamentoRESUMO
An analysis was made of 146 primary reconstructions performed in 141 patients with occlusion of the arteries of the femoropopliteal segment and leg. At the hospital stage an improvement of the clinical status was attained after primary operations in 98% of cases. The five-year cumulative bypass patency after operations.accounted for 43.5% while the limbs could be saved in 91.5% of cases. The results obtained in patients with stage 2B chronic arterial ischemia (according to the A.V.Pokrovsky classification, 1979) coincided with the results of bypass grafts of the popliteal artery (the 5-year patency was 56.9% with the limbs saved in - 81.2% of cases), whereas the results of in situ vein bypass were marked by a significantly better cumulative patency in the long-term period.
