Clinical observation of the patient with successful simultaneous intervention at atherosclerotic lesion of brachiocephalic and coronary arteries in acute coronary syndrome

• Pecherina Tamara B.
• Vasily V. Kashtalap
• Roman S. Tarasov
• Klimenkova Alla V.

Abstract

The article presents the clinical observation of the patient with successful simultaneous intervention of combined atherosclerotic disease of brachiocephalic and coronary arteries in acute coronary syndrome. A patient with a clinic of acute coronary syndrome with underlying diabetes mellitus type 2 was admitted to the admission department of the L.S. Barbarash Kemerovo Regional Clinical Cardiology Dispensary, where the patient was diagnosed with polyvascular disease with the lesions of coronary, brachiocephalic arteries and the arteries of lower limbs. Taking into account the severity of the patient's condition, as well as the extent of the lesion of coronary and brachiocephalic arteries, a decision in favour of simultaneous intervention at the indicated vascular beds was made. The patient successfully underwent coronary artery bypass grafting in combination with carotid endarterectomy under cardiopulmonary bypass.

Keywords:acute coronary syndrome, multifocal atherosclerosis, coronary artery bypass grafting, carotid endarterectomy

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