Key result
Surgical intervention using the distal-first technique and temporary axillofemoral bypass grafting reduced aortic clamping time and myocardial stress in a patient with a giant abdominal aortic aneurysm.
Case Report (n=1)
The distal-first technique combined with temporary axillofemoral bypass grafting may be a viable surgical strategy to reduce perioperative cardiovascular risk in patients with giant abdominal aortic aneurysms and severe uncorrected coronary artery disease.
This article presents a clinical observation of a patient with a giant atherosclerotic abdominal aortic aneurysm and comorbid uncorrected coronary artery disease. Taking into account the threat of aneurysm rupture, we have chosena surgical intervention using methods that reduce the risk of cardiovascular events in the perioperative period: the distal-first technique allowed us to reduce the aortic clamping time, and the use of temporary axillofemoral bypass grafting reduced peripheral resistance and stress on myocardium.
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Зотиков et al. (2019) conducted a case report in Giant atherosclerotic abdominal aortic aneurysm and comorbid uncorrected coronary artery disease (n=1). Surgical intervention using distal-first technique and temporary axillofemoral bypass grafting was evaluated. Surgical intervention using the distal-first technique and temporary axillofemoral bypass grafting reduced aortic clamping time and myocardial stress in a patient with a giant abdominal aortic aneurysm.
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