title: [Some aspects of treatment of dissecting aneurysm of the aorta].
abstract: The problem of dissecting aneurysms of the aorta (DAA) is discussed on the basis of an analysis of treatment of 63 patients, a comparison of 19 clinico-morphological findings included. It was found that in elderly and senile patients DAA often developed in its abdominal portion against the background of atheromatous-ulcerous lesions responsible for the "scrappy" dissection and formation of "pockets" in the aorta wall. The formation of distal fenestration with a "double-barrel" was observed much more rarely. For the early diagnosis of the aorta aneurysm dopplerography of the abdominal part of the aorta is recommended in elderly and senile patients with arterial hypertension and symptoms of occlusion in the aorta-femoral segment. The operative treatment of DAA and its long-term results are analyzed. A case of clinical management of dissecting aneurysm of the ascending portion of the aorta developed against the background of congenitial dysplasia of the connective tissue successfully operated in a woman with rheumatism is described.
authors.forename: I I
authors.initials: II
authors.lastname: Krasovskiĭ
authors.forename: I V
authors.initials: IV
authors.lastname: Shkodkin
authors.forename: L V
authors.initials: LV
authors.lastname: Likhachev
authors.forename: Iu A
authors.initials: IuA
authors.lastname: Shneĭder
authors.forename: V V
authors.initials: VV
authors.lastname: Tolkachev
authors.forename: S P
authors.initials: SP
authors.lastname: Zhorin
authors.forename: K M
authors.initials: KM
authors.lastname: Grinev
authors.forename: N N
authors.initials: NN
authors.lastname: Vladimirova
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000792:Angiography; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000473:pathology; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001027:Aortography; D001284:Atrophy / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D046508:Culture Techniques; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male; D008875:Middle Aged