Successful case of surgical treatment of symptomatic giant thoracoabdominal aortic aneurysm type II with right-sided descending aorta
The giant thoracoabdominal aortic aneurysm (TAAA) is an extremely complex surgical problem. Identified non-standard anatomy, large size, the presence of signs of tearing, compression of surrounding organs, malperfusion organs are additional risk factors for an unfavorable outcome after surgery. In connection with this, the most urgent issue remains the choice of the preferred strategy and variant of surgical treatment. Endovascular methods of treatment have recently made a serious technological breakthrough, but often endovascular interventions are not always feasible because of the unique and complex anatomy of the TAAA. Open reconstructive surgery with TAAA is regarded as one of the most invasive procedures in cardiovascular surgery and carries high risks of complications, including operation-associated. In this clinical case, due to compliance with the developed strategy, the staggered application of anastomoses and adequate perioperative protection of internal organs from ischemia, it was possible to reduce the development of probable complications to zero, while maintaining radical intervention