Surgical treatment of nonspecific arteritis with tandem lision of both common carotid arteries using allograft
https://doi.org/10.51523/2708-6011.2024-21-3-16
Abstract
The article presents a rare clinical case of non-specific arteritis involving the vessels of the brachiocephalic arteries system, the clinical course of which was characterized by manifestations of chronic cerebral insufficiency without signs of focal neurological deficit in the history and upon hospitalization, but accompanied by pronounced, widespread vascular involvement supplying the brain, with tandem common carotid artery lesions (critical stenosis of the common carotid artery and occlusion of the common carotid artery on the contralateral side), occlusion of both subclavian arteries and the right vertebral artery. This type of lesion is associated with a high risk of developing ischemic stroke and death, which was an indication for subsequent surgical treatment. In addition, the pronounced inflammatory process in the vessel wall and perivascular structures, the rate of disease progression, as well as the absence of subcutaneous veins of the necessary diameter, immunosuppression in the background of taking hormonal drugs, led to the decision to use arterial donor allograft as a biological material for subsequent reconstructive surgical intervention.
About the Authors
M. L. Kaplan
Gomel State Medical University;
Gomel University Clinic - Regional Hospital for Disabled People of the Great Patriotic War
Belarus
Belarus
Mark L. Kaplan, Candidate of Medical Sciences, Associate Professor, Head of the Department of Surgical Diseases No. 1
with a course of Cardiovascular Surgery;
Head of the Clinical Department of Surgery,
Gomel
E. B. Mordovkin
Gomel University Clinic - Regional Hospital for Disabled People of the Great Patriotic War
Belarus
Belarus
Egor B. Mordovkin, Vascular Surgeon, Department of Vascular Surgery,
Gomel
V. S. Thekepadical
Gomel State Medical University;
Gomel University Clinic - Regional Hospital for Disabled People of the Great Patriotic War
Belarus
Belarus
Varughese S. Thekepadical, Senior Lecturer at the Department of Surgical Diseases No. 1 with a course of Cardiovascular Surgery;
Vascular Surgeon, Department of Vascular Surgery,
Gomel
U. I. Turomsha
Gomel University Clinic - Regional Hospital for Disabled People of the Great Patriotic War
Belarus
Belarus
Uladzislau I. Turomsha, Endovascular surgeon, Department of Endovascular Surgery,
Gomel
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Review
For citations:
Kaplan M.L., Mordovkin E.B., Thekepadical V.S., Turomsha U.I. Surgical treatment of nonspecific arteritis with tandem lision of both common carotid arteries using allograft. Health and Ecology Issues. 2024;21(3):114-119. (In Russ.) https://doi.org/10.51523/2708-6011.2024-21-3-16
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