THE POSSIBILITY OF ENDOVASCULAR SURGERY IN A PATIENT WITH MULTIFOCAL ATHEROSCLEROSIS AND ONCOPATHOLOGY
The description represents a clinical case of step-by-step surgical treatment of a patient with coronary heart disease (three-vessel affection of coronary artery), 65-75% bicarotid stenosis of, and kidney cancer. Surgical treatment in this case is determined by the need to reduce the risk of cardiovascular complications during and after the surgical treatment of cancer. Myocardial revascularization has been performed - a two-stage coronary stenting. Revascularization was performed in two areas - in the area of blood flow circumflex artery and the left anterior descending artery. Due to the need for rapid cancellation of antiplatelet agents after myocardial revascularization bare stents were preferred. As the third step stenting of the right carotid artery was performed. However, appearance of the signs of clinical angina in three months after revascularization required another coronary angiography. Significant «in stent» restenosis of anterior descending artery and the obtuse marginal branch were identified, that required one more revascularization with drug-eluting stents. Six months later a successful surgical treatment of cancer pathology was performed on the patient.