Preview

Innovative Medicine of Kuban

Advanced search

CLINICAL CASE OF SURGERY FOR FALSE ANEURYSM OF THE INTERNAL CAROTID ARTERY AFTER CAROTID ENDARTERECTOMY AND CAROTID ANGIOPLASTY

Abstract

In this article a clinical case of surgical treatment for false aneurysm of extracranial department of an internal carotid artery in a 69-year-old patient after numerous surgical treatment for stenosis atherosclerosis of an internal carotid is described. The diagnostic algorithm consisted of triplex scanning of brachiocephalic arteries, a cerebral angiography and a multispiral computer tomography with intravenous contrast enhancement. This patient underwent carotid endarterectomy in combination with reconstruction of an internal carotid and removal of earlier implanted stent and a synthetic patch were performed. The postoperative period was uneventful. Histological assessment proved that extension of an internal carotid was caused by a false aneurysm. Previous surgery and atherosclerosis were the reasons of aneurysm formation.

About the Authors

R. A. Vinogradov
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of Health; Kuban State Medical University, Ministry of Health of the Russian Federation
Russian Federation

Cand. of Sci. (Med.), head of the vascular surgery department; assistant of surgery department no. 1 ATF



V. V. Matusevich
Kuban State Medical University, Ministry of Health of the Russian Federation
Russian Federation

Resident of cardiac surgery and cardiology department ATF

350086, Krasnodar, 167, 1 st May str.



A. B. Zakeryaev
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1, The Krasnodar Krai Ministry of Health
Russian Federation

Cardiovascular surgeon, department of vascular surgery



References

1. Kim H.O., Ji Y.B., Lee S.H., Jung C., Tae K. Cases of common carotid artery pseudoaneurysm treated by stent graft. Case Rep Otolaryngol. 2012;2012;674-827. DOI: 10.1155/2012/674827.

2. Ahuja V., Tefera G. Successful covered stent-graft exclusion of carotid artery pseudoanevrism: two case reports and review of literature. Ann. Vasc. Surg. 2007; 21:367-372.

3. Rowell R.J., Rzucidlo E.M., Schermerhorn M.L. Stent-graft treatment of a large internal carotid artery vein graft aneurism. J. Vasc. Surg.2003;37:1310-1313.

4. Naylor A.R. Prosthetic Patch Infection After Carotid Endarterectomy / Naylor A.R., Payne D., London N.J.M., Thompson M.M., Dennis M.S., Sayers R.D., Bell P.R.F.Eur. J. Vasc. Endovasc. Surg. 2002;23:11-16.

5. R.El-Sabrout, Cooley D.A. Extracranial carotid artery aneurism: Texas Heart Institute experience J. Vasc. Surg. 2000;31(4):702-712.

6. Lazaris A., Sayers R.D., Thompson M.M., Bell P.R., Naylor A.R. Patch corrugation on duplex ultrasonography may be an early warning of prosthetic path infection. Eur. J. Vasc. Endovasc. Surg. 2005;29:91-92.

7. Berkmen T., Troffkin N., Wakhloo A.K. Direct percutaneous ouncture of a cervical internal carotid artery aneurism for coil placement after previous incomplete stent assisted endovascular treatment. AJNR Am. Neuroradiol. 2003;24:1230-1233.


Review

For citations:


Vinogradov R.A., Matusevich V.V., Zakeryaev A.B. CLINICAL CASE OF SURGERY FOR FALSE ANEURYSM OF THE INTERNAL CAROTID ARTERY AFTER CAROTID ENDARTERECTOMY AND CAROTID ANGIOPLASTY. Innovative Medicine of Kuban. 2018;(3):44-48. (In Russ.)

Views: 499


ISSN 2541-9897 (Online)