vmireavizВестник медицинского института «РЕАВИЗ». Реабилитация, Врач и ЗдоровьеBulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH)2226-762X2782-1579РЕАВИЗ10.20340/vmi-rvz.2021.1.CLIN.1vmireaviz-142Research ArticleКлиническая медицинаClinical medicineХирургическое лечение пациента с сочетанным поражением коронарного и каротидного бассейновSurgical treatment of a patient with combined lesion of the coronary and carotid arterial systemshttps://orcid.org/0000-0001-7640-7315РидельВ. Ю.RidelV. Yu.

Ридель Владимир Юрьевич, сердечно-сосудистый хирург

Самара

Samara

https://orcid.org/0000-0003-1920-8234МихайловК. М.MikhailovK. M.

Михайлов Кирилл Михайлович, сердечно-сосудистый хирург

Самара

Samara

https://orcid.org/0000-0001-6169-1472СенцоваМ. Д.SentsovaM. D.

Сенцова Мария Дмитриевна, врач рентгенолог

Самара

Samara

https://orcid.org/0000-0001-8508-8571МихайловН. М.MikhailovN. M.

Михайлов Никита Михайлович, студент 6 курса

Самара

Samara

ГБУЗ «Самарская городская клиническая больница № 1 им. Н.И. Пирогова»РоссияSamara City Clinical Hospital No. 1 named after N.I. PirogovRussian FederationГБУЗ «Самарский областной клинический кардиологический диспансер им. В.П. Полякова»Russian FederationSamara Regional Clinical Cardiology Dispensary them. V.P. PolyakovaRussian FederationФГБОУ ВО «Самарский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииRussian FederationSamara State Medical UniversityRussian Federation202119032021012128Copyright © Ридель В.Ю., Михайлов К.М., Сенцова М.Д., Михайлов Н.М., 20212021Ридель В.Ю., Михайлов К.М., Сенцова М.Д., Михайлов Н.М.Ridel V.Y., Mikhailov K.M., Sentsova M.D., Mikhailov N.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vestnik.reaviz.ru/jour/article/view/142

Представлено клиническое наблюдение хирургического лечения пациента с атеросклеротическим сочетанным поражением коронарного и каротидного бассейнов. Было выполнено этапное оперативное вмешательство. Первым этапом была выполнена каротидная эндартерэктомия последовательно с двух сторон, вторым – трехсосудистое аортокоронарное шунтирование. Пациент осмотрен через два года после операции. Данных за рестеноз зоны реконструкции каротидного бассейна нет. Возврата стенокардии не отмечается.

A clinical case of surgical treatment of a patient with atherosclerotic combined lesions of the coronary and carotid areas is presented. A staged surgery was performed. The first stage was carotid endarterectomy sequentially on both sides. The second stage is three-vessel coronary artery bypass grafting. The patient was examined 2 years after the operation. There are no data on restenosis of the reconstruction zone of the carotid system. The return of angina pectoris is not noted.

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The authors declare that there are no conflicts of interest present.