Aspects of treatment of peripheral artery disease in patients with multifocal atherosclerosis and aortic aneurysm

This article provides an overview of current surgical options for treating peripheral arterial disease of the lower extremities, including those in comorbid patients with multifocal atherosclerosis and abdominal aortic aneurysms. The article presents data from large randomized trials comparing early and late outcomes of lower extremity vascular revascularization. The article analyzes outcomes of various approaches to abdominal aortic aneurysms reconstruction, including small abdominal aortic aneurysms in high-risk patients. The literature data are illustrated by a clinical example from our own practice. A case of successful open surgical reconstruction is described: aortobifemoral bypass grafting in a patient with generalized atherosclerosis and infrarenal aortic aneurysm with a 6-month follow-up period.