[Stage-by-stage treatment of post-dissection thoracoabdominal aortic aneurysm in a patient with HIV infection (clinical case)].

The article presents a clinical case of staged surgical treatment of a patient with acute complicated aortic dissection of the B type on the background of symptomatic abdominal aortic aneurysm with risk of rupture and the presence of HIV infection. Surgical intervention was performed: left-sided thoracophrenolumbotomy through the eighth intercostal space, elimination of abdominal aortic dissection with surgical correction of visceral and renal arteries, resection of abdominal aortic aneurysm with aorto-femoral bifurcation prosthetics. The patient was discharged on the 14th day after surgery. A control MSCT angiography of the aorta revealed the formation of a descending thoracic aortic aneurysm, which required a number of staged endovascular surgical interventions. Further follow-up showed no complications up to 5 years. This article considers the problem of choosing the optimal treatment strategy for the complicated course of aortic dissection, which requires a collegial discussion and dynamic postoperative follow-up.