A case of surgical treatment of an aneurysm of the internal carotid artery with severe angulation
R. E. Kalinin,
I. A. Suchkov,
A. S. Pshennikov,
V. V. Karpov,
A. A. Egorov,
N. A. Solianik,
M. R. Afenov https://doi.org/10.24884/0042-4625-2023-182-4-39-43
Abstract
The leading role among causes of CVA (cerebrovascular accident) is occupied by pathology of the internal carotid artery. The most common etiological factor is a pronounced atherosclerotic process in the area of carotid artery bifurcation. Significantly less common factors are non-atherosclerotic causes of internal carotid artery disease, which include aneurysm and pathological tortuosity. Their combination significantly increases the risk of cerebral events, which requires timely surgical treatment. Surgical treatment is associated with certain intraoperative difficulties. The following is a clinical case of surgical treatment of an aneurysm of the internal carotid artery extracranial segment in combination with its deformation correlated with hemodynamic stenosis of more than 70%. A resection of the tortuosity-aneurysm complex with the formation of an end-to-end anastomosis of the internal carotid artery was performed.
About the Authors
R. E. Kalinin
Ryazan State Medical University named after academician I.P. Pavlov
Russian Federation
Russian Federation
Kalinin Roman E., Dr. of Sci. (Med.), Professor, Rector, Cardiovascular Surgeon of the Highest Qualification Category, Head of the Department of Cardiovascular, X-ray Endovascular Surgery and Radiology
Ryazan
I. A. Suchkov
Ryazan State Medical University named after academician I.P. Pavlov
Russian Federation
Russian Federation
Suchkov Igor A., Dr. of Sci. (Med.), Professor, Vice-Rector for Research and Innovative Development, Cardiovascular Surgeon of the Highest Qualification Category, Chief Freelance Cardiovascular Surgeon of the Ministry of Health of the Ryazan Region
Ryazan
A. S. Pshennikov
Ryazan State Medical University named after academician I.P. Pavlov
Russian Federation
Russian Federation
Pshennikov Alexander S., Dr. of Sci. (Med.), Associate Professor, Professor of the Department of Cardiovascular, X-ray Endovascular Surgery and Radiology
Ryazan
V. V. Karpov
Ryazan State Clinical Hospital
Russian Federation
Russian Federation
Karpov Vyacheslav V., Cand. of Sci. (Med.), Cardiovascular Surgeon of the Highest Qualification Category
Ryazan
A. A. Egorov
Ryazan State Medical University named after academician I.P. Pavlov
Russian Federation
Russian Federation
Egorov Andrey A., Dr. of Sci. (Med.), Head of the Department of Vascular Surgery, Cardiovascular Surgeon of the Highest Qualification Category
Ryazan
N. A. Solianik
Ryazan State Medical University named after academician I.P. Pavlov
Russian Federation
Russian Federation
Solianik Nikita A., Postgraduate Student of the Department of Cardiovascular, X-ray Endovascular Surgery and Radiology
9 Vysokovoltnaia str., Ryazan, 390026
M. R. Afenov
Ryazan State Medical University named after academician I.P. Pavlov
Russian Federation
Russian Federation
Michail R. Afenov, 1-year Resident in the Specialty of Cardiovascular Surgery of the Department of Cardiovascular, X-ray Endovascular Surgery and Radiology
Ryazan
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For citations:
Kalinin R.E., Suchkov I.A., Pshennikov A.S., Karpov V.V., Egorov A.A., Solianik N.A., Afenov M.R. A case of surgical treatment of an aneurysm of the internal carotid artery with severe angulation. Grekov's Bulletin of Surgery. 2023;182(4):39-43. (In Russ.) https://doi.org/10.24884/0042-4625-2023-182-4-39-43
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