Bulgarian Cardiology · Published 2026-05-05 · DOI 10.3897/bgcardio.32.e187136
We present a clinical case of a 77-year-old male with an aortic aneurysm extending from aorta ascendens to the beginning of the descending aorta. Signifi cant patient comorbidities included prostate carcinoma, ischemic heart disease with single-vessel coronary artery disease (status post PCI with DES ×1 of the LCX in 2019), chronic heart failure NYHA class III, peripheral arterial disease stage IIA, anemic syndrome, left-sided nephrolithiasis, hemorrhoidal disease, colonic diverticulosis, and oesophageal haemangiomas. After multidisciplinary discussion, the patient underwent minimally invasive aortic arch debranching and wrapping of the ascending aorta without the need for extracorporeal circulation (ECC), followed by endovascular implantation of an aortic arch stent-graft and PTA of the right common and external iliac arteries with implantation of a 7/150 mm balloon. The postoperative period was uneventful. The patient was discharged in good general condition with recommendations for medical therapy and cardiology follow-up.
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