Virtual Conference
Heart 2022 Conference

Konstantin Kh. Eminov

Russian National Research Medical University, Russia

Title: A case of successful surgical treatment of a ruptured giant aneurysm of the infrarenal aorta in an elderly patient

Abstract

Today, abdominal aortic aneurysm surgery is a fairly well-studied area of medicine. Nevertheless, some questions remain rather debatable. No clear criteria for giant aneurysms have been developed so far. The available foreign and domestic literature reports about 40 cases of surgical treatment of giant abdominal aortic aneurysms, 16 of which are cases of aneurysm rupture. Open surgery remains the method of choice in the treatment of giant aneurysms due to the pronounced technical difficulties of endovascular intervention. The authors present a case of successful surgical treatment of a giant aneurysm rupture in an elderly patient. The peculiarity of this patient's condition is the occurrence of aneurysm rupture after hospital admission. The patient refused surgical treatment for two years after aneurysm detection. On examination after admission, multispiral computed tomography revealed an aneurysm size of 101 mm. On the eve of surgery, pain syndrome in the left abdomen and tachycardia appeared. Aneurysm rupture was suspected and the patient was urgently admitted to the operating room. The surgery was performed under the conditions of machine reinfusion of autoblood. The patient underwent abdominal aortic aneurysm resection with linear prosthesis and retroperitoneal hematoma removal. The postoperative period had no peculiarities. On the 10th day after the operation the patient was discharged in satisfactory condition to the outpatient treatment. This clinical case demonstrates the possibility of successful surgical treatment of giant aneurysm rupture in elderly patients.

Biography

Konstantin Eminov graduated from the Russian National Research Medical University. He studied cardiovascular surgery under academician L.A. Bokeria at the A.N. Bakulev Institute. Currently, he works in the leading gerontological center of the country, where he performs the full range of operations on the cardiovascular system. For selfless work and professionalism in the fight against covid19, he was awarded the state award- the Order of N.I. Pirogov.