[Surgical re-intervention in a patient with previous non-resectional infrarenal aortic aneurysm reconstruction]

The article presents a clinical case of repeat surgical treatment of a patient with aneurysms of the abdominal aorta and iliac arteries on the background of a giant ventral abdominal hernia 4 years after midline laparotomy aortofemoral bifurcation bypass with ligation of the aorta. The redo intervention consisted in thoracophrenolumbotomy along the VIII intercostal space, resection of aneurysms of the infrarenal aorta and iliac arteries, creation of a proximal end-to-end anastomosis with the old graft, ligation of the right common femoral artery, iliac arteries aneurysms reduction. The postoperative period was uneventful. The patient was discharged of POD 16. MSCT angiography at 12 months revealed no significant pathology. This clinical case demonstrates a long-term complication after non-radical abdominal aortic aneurysm treatment.