[Hybrid intervention in occlusion of the terminal aorta]

According to the national guidelines for the diagnosis and treatment of diseases of the lower extremity arteries of 2019, extended occlusion of the aorto-submandibular segment on both sides is an indication for aorto-femoral bifurcation bypass surgery. The current level of development of vascular surgery and endovascular methods of surgical treatment allows the use of a minimally invasive hybrid approach in the treatment of such a group of patients. This clinical case describes a minimally invasive hybrid approach in the treatment of a patient with extended occlusion of the aorto-iliac segments on both sides, with hemodynamically significant damage to the common femoral arteries and the formation of critical ischemia of the left lower limb.