[Remote results of combined treatment of thoracoabdominal aneurysms resulting from dissection]

Analysed herein are remote results of treatment at terms of 3 and 19 years in two patients with a complicated course of chronic thoracoabdominal aortic dissection. Each of them was subjected to 3 interventions, twice by emergency indications. Surgical corrections: resection of the abdominal aortic aneurysm (2), thoracoabdominal bypass grafting (1). Endovascular interventions: implantation of stent grafts into the descending aorta for a ruptured pseudoaneurysm (1) and in the subrenal segment of the abdominal aorta (1), embolization of the visceral artery for a ruptured aneurysm. The outcomes of treatment were considered good based on clinical and angiographic examinations. Revascularization in the segments of intervention and optimal quality of life of patients were achieved. The scope and choice of the method of correction are discussed with due regard for real clinical possibilities at specific terms of follow up.