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4 . 2025

Choice of surgical treatment tactics in a comorbid patient with hemodynamically significant coronary and cerebrovascular lesions in combination with posttraumatic arteriovenous fistula of the brachial artery

Abstract

The article presents a clinical observation of successful multi-stage surgical treatment of a patient with severe cardiac insufficiency aggravated by long-standing posttraumatic arteriovenous fistula of the brachial artery. Additionally, during the examination, the patient was found to have significant stenotic lesions of both carotid arteries. This combination of pathological factors in one patient required a multidisciplinary discussion of surgical treatment tactics and has not been described in the literature before.

Keywords: heart failure; bicarotid stenosis; posttraumatic arteriovenous fistula; carotid endarterectomy; brachial artery replacement

Funding. The study was not sponsored.

Conflict of interest. The authors declare no conflict of interest.

Authors’ contributions. Study concept and design – Yamenskov V.V., Chernov G.A., Pinchuk O.V.; data collection and processing – Chernov G.A., Yamenskov V.V., Maslovsky A.I., Akhiev M.I., Ivanov A.V., Voronova M.A; statistical processing of the material – Chernov G.A.; writing the text – Chernov G.A., Yamenskov V.V.; editing – Pinchuk O.V., Obraztsov A.V.

For citation: Yamenskov V.V., Chernov G.A., Pinchuk O.V., Obraztsov A.V., Maslovsky A.I., Akhiev M.I., Ivanov A.V., Voronova M.A. Choice of surgical treatment tactics in a comorbid patient with hemodynamically significant coronary and cerebrovascular lesions in combination with posttraumatic arteriovenous fistula of the brachial artery. Angiology and Vascular Surgery. Journal named after Academician A.V. Pokrovsky. 2025; 31 (4): 144–50. DOI: https://doi.org/10.33029/1027-6661-2025-31-4-144-150

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CHIEF EDITOR
CHIEF EDITOR
Yuri V. Belov
Academician of the Russian Academy of Sciences Doctor of Medical Sciences, Professor, President of the Russian Society of Angiologists and Vascular Surgeons

 

In accordance with the decision of the Presidium of the Russian Society of Angiologists and Vascular Surgeons, the journal "Angiology and Vascular Surgery" will be named after Academician A.V. Pokrovsky starting from No. 2/2022.

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