STAGED SURGICAL TREATMENT OF PATIENT WITH MULTIFOCAL ATHEROSCLEROSIS

Yu.V. Belov, A.B. Stepanenko, A.P. Gens, V.V. Bazylev
Russian Research Center of Surgery,
Moscow, Russia

A case report presents successful surgical treatment of a patient with multifocal atherosclerosis, impaired carotid arterial territory and renovascular hypertension resulted from subtotal renal artery stenosis, Clinical picture of the case is given in detail, as well as diagnostic examination results and surgical treatment plan, Optimal surgical strategy for such lesions is simultaneous surgery of carotid and renal arteries or staged correction beginning with carotid arteries. In the described case the staged intervention was chosen, but it was complicated by iliac arterial thrombosis during the attempt of renal artery angioplasty. From thoracophrenoperitoneal access simultaneous grafting of left renal artery with synthetic prosthesis and recanalization of blood flow in right lower limb were executed.

KEY WORDS: multifocal atherosclerosis, surgical correction, renal artery angioplasty.

P. 139

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