Open surgical treatment of a patient with multiple lesions of supra-aortic arteries

Kazantsev A.N.; Palagin P.D.; Sirotkin A.A.; Mukhtorov O.Sh.

doi:https://doi.org/10.17116/kardio20261902199

Kazantsev A.N.

Kostroma Regional Clinical Hospital, Kostroma, Russia

SPIN RSCI: 8396-1845
Scopus AuthorID: 57196122083
ORCID: 0000-0002-1115-609X

Palagin P.D.

Kostroma Regional Clinical Hospital, Kostroma, Russia

ORCID: 0000-0002-8922-2456

Sirotkin A.A.

Kostroma Regional Clinical Hospital, Kostroma, Russia

ORCID: 0000-0002-7646-4325

Mukhtorov O.Sh.

Kostroma Regional Clinical Hospital, Kostroma, Russia

ORCID: 0000-0002-3650-7677

Open surgical treatment of a patient with multiple lesions of supra-aortic arteries

Authors:

Kazantsev A.N., Palagin P.D., Sirotkin A.A., Mukhtorov O.Sh.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2026;19(2): 99‑104

DOI: 10.17116/kardio20261902199

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To cite this article:

Kazantsev AN, Palagin PD, Sirotkin AA, Mukhtorov OSh. Open surgical treatment of a patient with multiple lesions of supra-aortic arteries. Russian Journal of Cardiology and Cardiovascular Surgery. 2026;19(2):99‑104. (In Russ.)
https://doi.org/10.17116/kardio20261902199

Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)

Использование инфографики авторами научных работ

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Abstract:

This article describes cerebral revascularization in a patient with symptomatic stenoses (transient ischemic attack in March 2023) of brachiocephalic arteries (NASCET): internal carotid artery (ICA) on the left 90%, ICA on the right 99%, common carotid artery (CCA) on the left 80%, the first segment of the left subclavian artery 90%. Doppler ultrasound revealed complete steal syndrome on the left. At the first stage, the patient underwent classic carotid endarterectomy (CEE) on the right with autologous patch repair under temporary shunting. After 2 weeks, the second surgery was performed: eversion CEE from the left CCA+classical CEE from the left ICA with synthetic patch repair+carotid-subclavian bypass with synthetic prosthesis. In postoperative period, there was a violation of swallowing and difficult breathing due to local edema and inflammation on the left. Symptoms regressed under therapy. The patient was discharged in 14 days after surgery.

Keywords:

carotid endarterectomy

classical carotid endarterectomy

eversion carotid endarterectomy

carotid subclavian bypass

steal syndrome

Authors:

Kazantsev A.N.

Kostroma Regional Clinical Hospital, Kostroma, Russia

SPIN RSCI: 8396-1845
Scopus AuthorID: 57196122083
ORCID: 0000-0002-1115-609X

Palagin P.D.

Kostroma Regional Clinical Hospital, Kostroma, Russia

ORCID: 0000-0002-8922-2456

Sirotkin A.A.

Kostroma Regional Clinical Hospital, Kostroma, Russia

ORCID: 0000-0002-7646-4325

Mukhtorov O.Sh.

Kostroma Regional Clinical Hospital, Kostroma, Russia

ORCID: 0000-0002-3650-7677

Received:

20.06.2023

Accepted:

23.09.2023

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References:

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