On the simultaneous implementation of endovascular prosthetics of the aortic valve and abdominal aorta in the central military hospital

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The paper presents a clinical case of a 72-year-old patient who, for the first time in a military medical organization, in a hybrid operating room, successfully underwent simultaneous transcatheter aortic valve implantation and endoprosthesis replacement of the abdominal aorta by an endovascular method in a patient with a high surgical risk. In the early postoperative period, acute kidney injury of the 3rd stage developed. Conducted conservative therapy led to regression of signs of renal failure, normalization of serum creatinine (101 mcmol/l) and glomerular filtration rate (64 ml/min/1.73 m2) after 2.5 months. The issues of possible complications and advantages of simultaneous operations on the aorta are discussed. The observation demonstrates the technical feasibility of performing such an operation with a positive clinical result. To assess the risk of possible complications, to conduct a careful selection of patients for simultaneous intervention, a multidisciplinary approach is required with the participation of: a cardiac surgeon, an interventional X-ray surgeon, a doctor of functional diagnostic methods, an anesthesiologist, and a cardiologist.

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作者简介

A. Esipov

National Medical Research Center for High Medical Technologies – The A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Email: angioiva@mail.ru

заслуженный врач РФ, доктор медицинских наук, доцент, генерал-майор медицинской службы

俄罗斯联邦, Krasnogorsk, Moscow region

A. Ivanov

National Medical Research Center for High Medical Technologies – The A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation; Russian Biotechnological University (ROSBIOTECH)

编辑信件的主要联系方式.
Email: angioiva@mail.ru
俄罗斯联邦, Krasnogorsk, Moscow region;

S. Maksanov

National Medical Research Center for High Medical Technologies – The A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Email: angioiva@mail.ru
俄罗斯联邦, Krasnogorsk, Moscow region

V. Ivanov

Branch of the S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

Email: angioiva@mail.ru

заслуженный врач РФ, профессор, полковник медицинской службы в отставке

俄罗斯联邦, Moscow

A. Lishchuk

National Medical Research Center for High Medical Technologies – The A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Email: angioiva@mail.ru

заслуженный врач РФ, профессор, полковник медицинской службы запаса

俄罗斯联邦, Krasnogorsk, Moscow region

R. Aliyarov

National Medical Research Center for High Medical Technologies – The A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Email: angioiva@mail.ru
俄罗斯联邦, Krasnogorsk, Moscow region

R. Shabaev

National Medical Research Center for High Medical Technologies – The A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation; Russian Biotechnological University (ROSBIOTECH)

Email: angioiva@mail.ru

кандидат медицинских наук

俄罗斯联邦, Krasnogorsk, Moscow region; Moscow

V. Baksheev

National Medical Research Center for High Medical Technologies – The A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Email: angioiva@mail.ru

заслуженный врач РФ, доктор медицинских наук, полковник медицинской службы в отставке

俄罗斯联邦, Krasnogorsk, Moscow region

参考

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2. Fig. 1. Angiograms of staged aortic valve implantation. 1. Angiography of the aortic root. 2. Predilation of the aortic valve. 3. CorValve aortic valve positioning. 4. Control angiography of the aortic root and ascending aorta

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3. Fig. 2. Control angiogram of the terminal aorta. "Ballerina's legs". 1. The "crown" of the stent graft. Right (2) and left (3) legs of the endoprosthesis. 4. Aortic aneurysm

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4. Fig 3. Dissection (arrow) of the right common femoral artery

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版权所有 © Esipov A.V., Ivanov A.V., Maksanov S.D., Ivanov V.A., Lishchuk A.N., Aliyarov R.A., Shabaev R.M., Baksheev V.I., 2023


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