title: [Syndrome of chronic obstruction of the abdominal aorta and its surgical treatment].
abstract: The surgical management of 53 patients with high chronic occlusion of the abdominal aorta is reported. The authors unite this pathology under the term "chronic abdominal aorta obstruction syndrome". In 10 patients eversion endarterectomy was performed, in 22--aortofemoral bypass, in 21--prosthetic replacement of the aorta and of the iliac arteries with synthetic grafts. An original techinque of "milking" the thrombus down from the proximal aorta is described; it simplifies the operative procedure and prevents grave complications during surgery in patients with high occlusions of the abdominal aorta. Good results in the immediate postoperative period were achieved in 85% of the cases. Postoperative mortality comprised 12%. Late results were followed-up in 35 patients during 1 to 5 years. In 28 patients the results of surgery proved good.
mesh_terms: D000328:Adult; D001012:Aorta, Abdominal; D001018:Aortic Diseases / Q000601:surgery; D002908:Chronic Disease; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D008722:Methods; D008875:Middle Aged; D013577:Syndrome; D013927:Thrombosis / Q000601:surgery
vernacular_title: Sindrom khronicheskoĭ obturatsii briushnoĭ aorty i ego khirurgicheskoe lechenie