Secondary intrathoracic reconstruction after prosthetic repair of the brachiocephalic trunk for traumatic aneurysm of the right subclavian artery

Shubin A.A.², Kranin D.L.¹ , Zamskiy K.S.¹, Varukin V.P.¹, Stuchilov A.V.²

1) Centre of Cardiovascular Surgery, Chief military Clinical Hospital named after Academician N.N. Burdenko
2) Department of Cardiovascular Surgery, City Clinical Hospital named after S.P. Botkin, Moscow, Russia

The article deals with a case report of successful secondary surgical treatment of a patient who endured prosthetic repair of the brachiocephalic trunk for a traumatic false aneurysm of the right subclavian artery complicated by thrombosis of the reconstruction zone. Long-term conservative treatment resulted in progression of cerebrovascular insufficiency, invalidization, increasing ischaemia of the right upper limb, which required performing secondary intrathoracic reconstruction with prosthetic repair of the common carotid artery, vertebral artery and axillary artery on the right. Presented herein are the results of check up contrast-enhanced and CT-angiography performed at 10 months after the operation.

KEY WORDS: secondary reconstructions, brachiocephalic arteries, secondary intrathoracic reconstructions, cerebrovascular insufficiency.

P. 163

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