transmedТрансляционная медицинаTranslational Medicine2311-44952410-5155Almazov National Medical Research Centre, Saint Petersburg, Russia10.18705/2311-4495-2019-6-4-13-21transmed-496Research ArticleСЕРДЕЧНО-СОСУДИСТЫЕ ЗАБОЛЕВАНИЯCARDIOVASCULAR MEDICINEЭтапное эндоваскулярное лечение расслоения торакоабдоминальной аорты (III типа по ДеБейки) у пациентки высокого кардиального рискаStaged Endovascular Treatment of Thoracoabdominal Aortic Dissection (DeВakey Type III) in High Cardiovascular Risk Patienthttps://orcid.org/0000-0001-9470-2609ЧерноваД. В.ChernovaD. V.

Чернова Дарья Викторовна, врач — сердечно-сосудистый хирург, младший научный сотрудник НИЛ сосудистой и гибридной хирургии НИО сосудистой и интервенционной хирургии.

Ул. Аккуратова, д. 2, Санкт-Петербург, 197341

Chernova Daria V. - Vascular Surgeon, Associate Researcher, Scientific Department of Vascular and Interventional Surgery.

Akkuratova str. 2, Saint Petersburg, 197341

darya.klish88@gmail.comhttps://orcid.org/0000-0003-2500-2320ЖердевН. Н.ZherdevN. N.

Жердев Николай Николаевич, врач — сердечно-сосудистый хирург, младший научный сотрудник НИЛ сосудистой и гибридной хирургии НИО сосудистой и интервенционной хирургии.

Санкт-Петербург

Zherdev Nicolai N. - Vascular Surgeon, Associate Researcher, Scientific Department of Vascular and Interventional Surgery.

Saint Petersburg

zherdeff.nikolai@icloud.comhttps://orcid.org/0000-0003-1214-0150ЧернявскийМ. А.ChernyavskiyM. A.

Чернявский Михаил Александрович - доктор медицинских наук, главный научный сотрудник НИО сосудистой и интервенционной хирургии.

Санкт-Петербург

Chernyavskiy Mikhail A. - PhD, Dr. Sc., Chief Researcher, Scientific Department of Vascular and Interventional Surgery.

Saint Petersburg

machern@mail.ruФедеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени В.А. Алмазова» Министерства здравоохранения Российской ФедерацииРоссияAlmazov National Medical Research CentreRussian Federation201916102019641321Copyright © Чернова Д.В., Жердев Н.Н., Чернявский М.А., 20192019Чернова Д.В., Жердев Н.Н., Чернявский М.А.Chernova D.V., Zherdev N.N., Chernyavskiy M.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://transmed.almazovcentre.ru/jour/article/view/496

Тактика лечения хронического расслоения торакоабдоминального отдела аорты III типа по ДеБейки до сих пор остается спорным вопросом из-за индивидуальных особенностей каждого пациента, не специфичности жалоб и симптомов и сопряженных с ними серьезных осложнений, присущих прогрессированию заболевания (разрыв аорты, синдром мальперфузии внутренних органов, ретроградная диссекция, рефрактерная гипертензия, боль). В данной статье представлен клинический случай этапного эндоваскулярного лечения пациентки 78 лет с хроническим расслоением торакоабдоминального отдела аорты III типа по ДеБейки на фоне неконтролируемой артериальной гипертензии. Эндоваскулярный метод является эффективным и безопасным инструментом в лечении этой сложной группы пациентов, в том числе нетолерантных к открытому хирургическому лечению.

Management of thoracoabdominal aortic dissection (DeBakey III type) is still a controversial subject because of the individual features each patient, nonspecific complains and symptoms, and severe complications associated with disease progression, such as aortic rupture, visceral malperfusion syndrome, retrograde dissection, refractory hypertension and pain.

This article reports the clinical case of staged endovascular treatment of 78-year-old female with chronic thoracoabdominal aortic dissection (DeBakey type III) affected by uncontrollable hypertension. Endovascular treatment is proving to be an affective and safety tool for treatment this complex group of patients including nontolerant to open surgery.

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The authors declare that there are no conflicts of interest present.