Journal «Angiology and Vascular Surgery» • 

2012 • VOLUME 18 • №1

Single-step surgical management of lesions of the ascending aorta and aortic arch, coronary and carotid arteries in a male patient with multifocal atherosclerosis

Belov Yu.V., Charchyan E.R, Krasnikov M.P.

Department of Surgery of the Aorta and its Branches under the Russian Scientific Centre of Surgery named after B. V. Petrovsky, Russian Academy of Medical Sciences, Moscow, Russia

Described in the article is a clinical case report concerning single-step surgical management of a male patient presenting with multifocal atherosclerosis accompanied by an aneurysm of the ascending aorta and proximal segment of the aortic arch combined with lesions of the coronary and brachiocephalic vessels, thus showing a possibility of surgical treatment in this cohort of patients, if completely and timely diagnosed. Performing a one-stage operation without aggravating the surgical intervention makes it possible to decrease the risk of complications of both the heart and brain in the intra- and postoperative periods.

KEY WORDS: aortic aneurysm, prosthetic repair of the aorta, exsoprosthetics, aortic arch, myocardial revascularization, carotid endarterectomy.

P. 135

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