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3 . 2026

Chronic type B aortic dissection in a patient with antiphospholipid syndrome (a case report)

Abstract

Type B aortic dissection in a patient with antiphospholipid syndrome is a complicated clinical situation requiring an individual approach to surgical decision-making. Presented herein is a clinical case report concerning treatment of a patient with antiphospholipid syndrome and chronic type B aortic dissection. A hybrid method of surgical treatment was chosen consisting in carotid-subclavian bypass performed as the first stage and thoracic endovascular aortic repair as the second stage. No perioperative complications were encountered.

Keywords:antiphospholipid syndrome; carotid-subclavian bypass; thoracic endovascular aortic repair; chronic type B aortic dissection; hybrid surgery

Authors’ contribution. Surgical decision-making, common carotid-subclavian bypass (1st stage) – Zotikov A.E.  , Bayandin N.L., Khokonov M.R., Eminov K.Kh.; performing the second stage of the operation. Implantation of a stent graft into the thoracic aorta – Vlasov V.Yu, Khokonov M.R.; determining the tactics of examination and ma agement of antiphospholipid syndrome – Shakhova A.A., Gilyarevskiy A.A., Shchedrina A.Yu., Eruslanova K.A., Molchanova A. Yu., Aleksanyan L.A., Tkacheva O.N.; draft manuscript preparation – Zotikov A.E. , Bayandin N.L., Khokonov M.R., Eminov K.Kh., Shakhova A.A., Gilyarevskiy A.A., Shchedrina A.Yu., Eruslanova K.A., Molchanova A. Yu., Aleksanyan L.A., Tkacheva O.N.; manuscript revision – Shakhova A.A., Gilyarevskiy S.R., Shchedrina A.Yu., Eruslanova K.A., Molchanova A.Yu., Aleksanyan L.A., Tkacheva O.N.

For citation: Zotikov A.E., Bayandin N.L., Khokonov M.R., Shakhova A.A., Vlasov V.Yu., Eminov K.Kh., Gilyarevskiy S.R., Shchedrina A.Yu., Eruslanova K.A., Molchanova A.Yu., Aleksanyan L.A., Tkacheva O.N. Chronic type B aortic dissection in a patient with antiphospholipid syndrome (a case report). Angiology and Vascular Surgery. Journal named after Academician A.V. Pokrovsky. 2026; 32 (3): 138–47. DOI: https://doi.org/10.33029/1027-6661-2026-32-3-138-147

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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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