FIELD: medicine.
SUBSTANCE: invention relates to medicine, particularly to cardiovascular surgery. After medial laparotomy, a front wall of the aneurysm of the infrarenal aorta, its neck and iliac arteries are separated. Iliac artery is ligatured or clamped. Clamp is applied on an unchanged aneurysm of the aneurysm. Aortic aneurysm clamp is longitudinally applied. Aorta is crossed transversely. Aneurismically changed aortic walls are dissected by a clamp, detritus and thrombotic masses are removed. Distal aorta portion is closed by a single-row blanket suture. Stepwise removal of longitudinal clamp, tightening threads. Proximal and distal anastomoses of aorta and synthetic prosthesis are formed.
EFFECT: method provides reliable reduction of aortic aneurysm, improved conditions for proximal anastomosis, reduced number of early and late postoperative complications in the form of a disordered configuration of the synthetic prosthesis and thrombosis, and can be performed both in planned and emergency operations.
1 cl, 7 dwg, 3 ex
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