Option for surgical treatment of posttraumatic false aneurysm of the common carotid artery with the formation of an arteriovenous fistula with the internal jugular vein
https://doi.org/10.52727/2078-256X-2026-22-2-234-242
Abstract
Posttraumatic lesions of the carotid arteries are rare, but can lead to serious complications: false aneurysm and arteriovenous fistula. The combination of these complications requires an individualized approach to surgical management. The purpose of the study. To present a clinical case of successful surgical treatment of a posttraumatic false aneurysm of the common carotid artery with an arteriovenous fistula to the internal jugular vein. Case presentation. A 43-year-old patient presented with complaints of left neck pain and inspiratory dyspnea. He had a history of a neck injury in December 2024. An ultrasound of the brachiocephalic arteries and a CT angiography were performed. Open surgery was performed, including resection of a left common carotid artery (CCA) false aneurysm, CCA replacement with a KemAngio graft, and suturing of an external venous device (AVD). The postoperative period was uneventful. The patient was discharged on the 7th day. At a 12-month follow-up, no clinical manifestations were observed. Ultrasound data showed normal blood flow in the CCA, ICA, and ECA, and no neurological impairment was detected. Conclusions. Open surgical treatment allows for simultaneous elimination of false aneurysm and arteriovenous fistula with good long-term results.
About the Authors
K. A. Kuznetsov
Novosibirsk City Clinical Hospital No. 1
Russian Federation
Russian Federation
Konstantin A. Kuznetsov, candidate of medical sciences, head of the department of vascular surgery, cardiovascular surgeon
6, Zalessky st., Novosibirsk, 630047
D. S. Zemel
Novosibirsk City Clinical Hospital No. 1
Russian Federation
Russian Federation
Dmitry S. Zemel, cardiovascular surgeon, department of vascular surgery
6, Zalessky st., Novosibirsk, 630047
V. V. Shigeldeev
Novosibirsk City Clinical Hospital No. 1
Russian Federation
Russian Federation
Vadim V. Shigeldeev, cardiovascular surgeon, department of vascular surgery
6, Zalessky st., Novosibirsk, 630047
S. N. Artemenko
Federal Research Center for Fundamental and Translational Medicine
Russian Federation
Russian Federation
Sergey N. Artemenko, doctor of medical sciences, professor of the RAS, deputy director for scientific and clinical research
2, Timakova st., Novosibirsk, 630117
N. G. Lozhkina
Novosibirsk City Clinical Hospital No. 1; Federal Research Center for Fundamental and Translational Medicine; Federal State Autonomous Educational Institution of Higher Professional Education «Novosibirsk National Research State University»
Russian Federation
Russian Federation
Natalya G. Lozhkina, doctor of medical sciences, professor, head of the clinical and experimental cardiology group
6, Zalessky st., Novosibirsk, 630047
2, Timakova st., Novosibirsk, 630117
1, Pirogova st., Novosibirsk, 630090
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Review
For citations:
Kuznetsov K.A., Zemel D.S., Shigeldeev V.V., Artemenko S.N., Lozhkina N.G. Option for surgical treatment of posttraumatic false aneurysm of the common carotid artery with the formation of an arteriovenous fistula with the internal jugular vein. Ateroscleroz. 2026;22(2):234-242. (In Russ.) https://doi.org/10.52727/2078-256X-2026-22-2-234-242
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