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1 . 2026

Stage-by-stage treatment of post-dissection thoracoabdominal aortic aneurysm in a patient with HIV infection (clinical case)

Abstract

The article presents a clinical case of staged surgical treatment of a patient with acute complicated aortic dissection of the B type on the background of symptomatic abdominal aortic aneurysm with risk of rupture and the presence of HIV infection. Surgical intervention was performed: left-sided thoracophrenolumbotomy through the eighth intercostal space, elimination of abdominal aortic dissection with surgical correction of visceral and renal arteries, resection of abdominal aortic aneurysm with aorto-femoral bifurcation prosthetics. The patient was discharged on the 14th day after surgery. A control MSCT angiography of the aorta revealed the formation of a descending thoracic aortic aneurysm, which required a number of staged endovascular surgical interventions. Further follow-up showed no complications up to 5 years. This article considers the problem of choosing the optimal treatment strategy for the complicated course of aortic dissection, which requires a collegial discussion and dynamic postoperative follow-up.

Keywords: aortic dissection; HIV infection; malperfusion; aneurysm resection; step-by-step treatment

Funding. The study was not sponsored.

Conflict of interest. The authors declare no conflict of interest.

Authors’ contribution. Concept and design of the study – Bondarenko P.B., Shlomin V.V.; collection and processing of material – Bondarenko P.B., Badikov I.A., Shloido E.A., Chizhova K.A.; statistical processing – Bondarenko P.B., Badikov I.A., Kasyanov I.V., Didenko Y.P., Gusinsky A.V.; draft manuscript preparation – Bondarenko P.B.; manuscript revision – Bondarenko P.B., Shlomin V.V., Puzdryak P.D.

For citation: Shlomin V.V., Bondarenko P.B., Badikov I.A., Shloido E.A., Puzdryak P.D., Didenko Yu.P., Kasyanov I.V., Chizhova K.A., Gusinsky A.V. Stage-by-stage treatment of post-dissection thoracoabdominal aortic aneurysm in a patient with HIV infection (clinical case). Angiology and Vascular Surgery. Journal named after Academician A.V. Pokrovsky. 2026; 32 (1): 148–53. DOI: https://doi.org/10.33029/1027-6661-2026-32-1-148-153

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CHIEF EDITOR
CHIEF EDITOR
Yuri V. Belov
Academician of the Russian Academy of Sciences Doctor of Medical Sciences, Professor, President of the Russian Society of Angiologists and Vascular Surgeons

 

In accordance with the decision of the Presidium of the Russian Society of Angiologists and Vascular Surgeons, the journal "Angiology and Vascular Surgery" will be named after Academician A.V. Pokrovsky starting from No. 2/2022.

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