RESUMO
Spontaneous rupture of the aorta is an uncommonly encountered acute surgical aortic pathology characterised by an utterly unfavourable prognosis. The article deals with a case report concerning successful endovascular treatment of spontaneous rupture of the thoracic portion of the aorta, followed by discussion of problems regarding aetiology, diagnosis, and therapeutic policy for such pathology.
Assuntos
Ruptura Aórtica , Implante de Prótese Vascular/métodos , Idoso , Aorta Torácica/diagnóstico por imagem , Aorta Torácica/cirurgia , Ruptura Aórtica/diagnóstico , Ruptura Aórtica/fisiopatologia , Ruptura Aórtica/cirurgia , Diagnóstico Diferencial , Humanos , Masculino , Ruptura Espontânea/diagnóstico , Ruptura Espontânea/fisiopatologia , Ruptura Espontânea/cirurgia , Tomografia Computadorizada Espiral , Resultado do TratamentoRESUMO
The article presents the results of treatment of 201 patients with neuroischemic form of diabetic foot syndrome. The research included 158 women and 43 men of the middle age of 62.5 ± 11.2 years. The complex approach was applied in treatment including medicamentous treatment, revasculization of extremity, an application of modern combined collagenous coating and foot relieving using silicone insoles and orthopedic footwear. The endovascular and open reconstructive operations were performed in order to obtain the revasculization of extremity. Given complex approach allowed reducing the terms of hospital stay, the rate of ulcerous defects recurrences and relapses of ischemia of lower extremities during one year after endovascular interventions.
