Laparoscopic aorto-bifemoral prosthetics in a patient with thrombosis of the aortic endoprosthesis

Mozgovoi Paul, Spiridonov Evgeny, Mandrikov Viktor, Ufimtsev Vladimir, Lukovskova Anastasia

The article presents a clinical case of laparoscopic surgical treatment of thrombotic occlusion of the aortic endoprosthesis. Within 6 months after endoprosthetic repair of infrarenal aneurysm, the patient first suffered a thrombosis of the left branch of the endoprosthesis, in connection with which a cross-femoral bypass of the PTFE prosthesis was performed, and then a thrombosis of the aortic endoprosthesis. The patient was hospitalized urgently with the clinic of acute ischemia of both lower limbs. After appropriate preoperative preparation, the patient underwent laparoscopic aorto-bifemoral prosthetics with the removal of the proximal part of the stent graft and the formation of a proximal anastomosis completely laparoscopically. The postoperative period was uneventful. The patient was rehabilitated as soon as possible. Follow-up for 45 months, the aorto-bifemoral prosthesis is functioning, blood circulation of the patient's lower extremities is compensated. On the basis of our experience we can conclude that laparoscopic surgery techniques can be successfully used for the correction of complications after operations for the abdominal aortic aneurysms.

Keywords:abdominal aortic aneurysm, aorto-femoral bifurcation prosthetics, laparoscopy.