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Piotr Szopiński, Maciej Stryga and Mateusz Terlecki

Hybrid Operation of Posttraumatic Dissecting Aneurysm of Descending Aorta - Case Report

A case is presented of a 48-year old patient, hospitalized in 1st Clinic of General and Vascular Surgery, 2nd Medical Faculty, Warsaw Medical University. The patient underwent successful hybrid treatment for a dissecting aneurysm of the descending aorta. The dissection was repaired using a bimodular stent-graft Zenith TX-2 Zenith, Cook, covering origins of the left subclavian artery and left common carotid artery. Blood flow in the neck was restored using non-anatomical anastomoses: the left common carotid artery was connected with the right common carotid artery and left subclavian artery.

Open access

Piotr Szopiński, Mateusz Terlecki and Eliza Pleban

Endovascular Treatment of Upper Gastrointestinal Bleeding Detected with the Use of CT Angiography

The authors present a case of a patient with a history of open repair of abdominal aortic aneurysm with a tube graft three years previously presenting with gastrointestinal bleeding as a sign of aortoduodenal fistula. The diagnosis of the fistula was established on the basis of computed tomography angiography, with no source of bleeding found in endoscopy. Endovascular treatment was undertaken due to high operative risk (ASA class IV). A tube stentgraft was implanted covering both anastomoses of the previously implanted prosthesis. In 2-year observation no recurrent gastrointestinal bleeding was noticed.