A CASE OF SUCCESSFUL OPEN SURGICAL TREATMENT OF A GIANT ANEURISM OF THE SUPRACLINOID SEGMENT OF THE INTERNAL CAROTID ARTERY
N.O. RAKHIMOV,
V.A. LUKYANCHIKOV,
KH.D. RAKHMONOV,
R.N. BERDIEV,
S.N. SHOEV
Affiliations
N.O. RAKHIMOV
National Medical Center of the Republic of Tajikistan «Shifobakhsh», Dushanbe, Republic of Tajikistan
V.A. LUKYANCHIKOV
Department of Urgent Neurosurgery, Sklifosovsky Research Institute for Emergency Medicine, Moscow, Russian Federation. Department of Neurosurgery and Neuroresuscitation, A.I. Yevdokimov Moscow State University of Medicine and Dentistry, Moscow, Russian Federation
KH.D. RAKHMONOV
National Medical Center of the Republic of Tajikistan «Shifobakhsh», Dushanbe, Republic of Tajikistan. Department of Neurosurgery and Polytrauma, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
R.N. BERDIEV
Department of Neurosurgery and Polytrauma, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
S.N. SHOEV
Health Complex «Istiklol», Dushanbe, Republic of Tajikistan
Methods: Despite the progress in developing high-tech methods for neurosurgical patient treatment, managing giant internal carotid artery (ICA) aneurysms remains challenging. We report a case of the successful surgical treatment of a patient with a highly complex clinical problem – a giant aneurysm (GA) at the right supraclinoid ICA. First, the extent of an open surgical intervention was as follows: the ICA was exposed using a linear neck incision and mobilized. Then, osteoplastic skull trepanation in the pterional region and the aneurysmal portion of supraclinoid ICA was performed. The chosen surgical tactics prevented recurrent subarachnoid and intracerebral hemorrhage, ischemia, edema, and brain compression, which are closely related to death and disability. Based on the above, the treatment method has been considered a practical option for treating this cohort of patients.
