Clinical case of successful staged treatment of patients with aneurysms of the thoracic and abdominal aorta and adenocarcinoma of the stomach
https://doi.org/10.18705/2311-4495-2018-5-4-53-59
Abstract
А clinical case of treatment of a patient with isolated saccular aneurysm of the aortic arch and aneurysm of the infrarenal aorta of large size is presented. As a сoncomitant pathology, gastric adenocarcinoma was revealed. Multi-stage surgical treatment was performed. The first stage included left-sided carotid-subclavian bypass, the second –TEVAR, the third — EVAR. The final stage was an extended gastrectomy with lymphodissection. No complications were found during the treatment. The technique of operations is described, explanations on the chosen tactics of treatment are given. The conclusion is made about the advantage of endovascular techniques in the treatment of aortic pathology in patients with oncological pathology.
About the Authors
M. A. Chernyavskiy
Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
Mikhail A. Chernyavskiy - MD, Dr.Sci., head of researchdepartment of vascular and intervention surgery.
Akkuratova str. 2, Saint Petersburg, 197341
Competing Interests:
No conflict of interest
A. A. Gusev
Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
Alexandr A. Gusev - MD, vascular surgeon of department of vascular and hybrid surgery.
Akkuratova str. 2, Saint Petersburg, 197341
Competing Interests:
No conflict of interest
I. N. Danilov
Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
Ivan N. Danilov - MD, PhD, head of the Department of surgical treatment of oncological patients.
Akkuratova str. 2, Saint Petersburg, 197341
Competing Interests:
No conflict of interest
I. V. Basek
Almazov National Medical Research Centre
Russian Federation
Competing Interests:
Russian Federation
Ilona V. Basek - MD, PhD, head of the Department of computed tomography.
Akkuratova str. 2, Saint Petersburg, 197341
Competing Interests:
No conflict of interest
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Review
For citations:
Chernyavskiy M.A., Gusev A.A., Danilov I.N., Basek I.V. Clinical case of successful staged treatment of patients with aneurysms of the thoracic and abdominal aorta and adenocarcinoma of the stomach. Translational Medicine. 2018;5(4):53-59. (In Russ.) https://doi.org/10.18705/2311-4495-2018-5-4-53-59
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