Endovascular treatment of the rupture of thoracic aortic aneurysm, manifested by a neurological «mask»

The article describes a case of successful treatment of the rupture of aortic aneurysm by the endovascular method. Patient P., 71 years old, was hospitalized in a multidisciplinary hospital with a diagnosis of acute cerebral circulation disorder. The patient was examined in the intensive care unit....

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Main Authors: A. N. Ryazanov, V. V. Soroka, S. P. Nokhrin, D. V. Kandyba, S. A. Platonov, V. N. Zhigalo, A. V. Osipov, A. B. Kurilov, E. P. Ryazanova, P. M. Malkova
Format: Article
Language:Russian
Published: Pavlov First Saint Petersburg State Medical University 2021-04-01
Series:Вестник хирургии имени И.И. Грекова
Subjects:
Online Access:https://www.vestnik-grekova.ru/jour/article/view/1663
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author A. N. Ryazanov
V. V. Soroka
S. P. Nokhrin
D. V. Kandyba
S. A. Platonov
V. N. Zhigalo
A. V. Osipov
A. B. Kurilov
E. P. Ryazanova
P. M. Malkova
author_facet A. N. Ryazanov
V. V. Soroka
S. P. Nokhrin
D. V. Kandyba
S. A. Platonov
V. N. Zhigalo
A. V. Osipov
A. B. Kurilov
E. P. Ryazanova
P. M. Malkova
author_sort A. N. Ryazanov
collection DOAJ
description The article describes a case of successful treatment of the rupture of aortic aneurysm by the endovascular method. Patient P., 71 years old, was hospitalized in a multidisciplinary hospital with a diagnosis of acute cerebral circulation disorder. The patient was examined in the intensive care unit. Signs of neurological symptoms regressed. Spiral computed tomography of the chest organs was performed with suspected pulmonary embolism, the results of which revealed an aneurysm of the descending thoracic aorta, complicated by a rupture with the formation of a right-sided hemothorax. The patient underwent endoprosthesis of the thoracic aorta with stent graft. After 2 days, thoracoscopic sanitation, drainage of the right pleural cavity was performed. The postoperative period proceeded without peculiarities. The patient was discharged on the 12th day in satisfactory condition. At control examination in 1, 6, 12 months, the long-term steady positive result was noted. Endovascular methods minimize the risk of postoperative complications, contributing to a favorable outcome of the disease.
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spelling doaj.art-eb3f55007cc1457db07360b6c55353682023-03-13T08:09:19ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252021-04-011796667110.24884/0042-4625-2020-179-6-66-711240Endovascular treatment of the rupture of thoracic aortic aneurysm, manifested by a neurological «mask»A. N. Ryazanov0V. V. Soroka1S. P. Nokhrin2D. V. Kandyba3S. A. Platonov4V. N. Zhigalo5A. V. Osipov6A. B. Kurilov7E. P. Ryazanova8P. M. Malkova9Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency MedicineSaint-Petersburg I. I. Dzhanelidze Research Institute of Emergency MedicineSaint-Petersburg I. I. Dzhanelidze Research Institute of Emergency MedicineSaint-Petersburg I. I. Dzhanelidze Research Institute of Emergency MedicineSaint-Petersburg I. I. Dzhanelidze Research Institute of Emergency MedicineSaint-Petersburg I. I. Dzhanelidze Research Institute of Emergency MedicineSaint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine; Military Medical AcademySaint-Petersburg I. I. Dzhanelidze Research Institute of Emergency MedicineSaint-Petersburg I. I. Dzhanelidze Research Institute of Emergency MedicineSaint-Petersburg I. I. Dzhanelidze Research Institute of Emergency MedicineThe article describes a case of successful treatment of the rupture of aortic aneurysm by the endovascular method. Patient P., 71 years old, was hospitalized in a multidisciplinary hospital with a diagnosis of acute cerebral circulation disorder. The patient was examined in the intensive care unit. Signs of neurological symptoms regressed. Spiral computed tomography of the chest organs was performed with suspected pulmonary embolism, the results of which revealed an aneurysm of the descending thoracic aorta, complicated by a rupture with the formation of a right-sided hemothorax. The patient underwent endoprosthesis of the thoracic aorta with stent graft. After 2 days, thoracoscopic sanitation, drainage of the right pleural cavity was performed. The postoperative period proceeded without peculiarities. The patient was discharged on the 12th day in satisfactory condition. At control examination in 1, 6, 12 months, the long-term steady positive result was noted. Endovascular methods minimize the risk of postoperative complications, contributing to a favorable outcome of the disease.https://www.vestnik-grekova.ru/jour/article/view/1663thoracic aortaaneurysmruptureclinical maskhemothoraxendovascular treatmentstent graft
spellingShingle A. N. Ryazanov
V. V. Soroka
S. P. Nokhrin
D. V. Kandyba
S. A. Platonov
V. N. Zhigalo
A. V. Osipov
A. B. Kurilov
E. P. Ryazanova
P. M. Malkova
Endovascular treatment of the rupture of thoracic aortic aneurysm, manifested by a neurological «mask»
Вестник хирургии имени И.И. Грекова
thoracic aorta
aneurysm
rupture
clinical mask
hemothorax
endovascular treatment
stent graft
title Endovascular treatment of the rupture of thoracic aortic aneurysm, manifested by a neurological «mask»
title_full Endovascular treatment of the rupture of thoracic aortic aneurysm, manifested by a neurological «mask»
title_fullStr Endovascular treatment of the rupture of thoracic aortic aneurysm, manifested by a neurological «mask»
title_full_unstemmed Endovascular treatment of the rupture of thoracic aortic aneurysm, manifested by a neurological «mask»
title_short Endovascular treatment of the rupture of thoracic aortic aneurysm, manifested by a neurological «mask»
title_sort endovascular treatment of the rupture of thoracic aortic aneurysm manifested by a neurological mask
topic thoracic aorta
aneurysm
rupture
clinical mask
hemothorax
endovascular treatment
stent graft
url https://www.vestnik-grekova.ru/jour/article/view/1663
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