[Simultaneous removal of carotid paraganglioma and carotid endarterectomy (case report)].

Abstract

Carotid paragangliomas are rare disease. Radical removal of the tumor is the method of choice in the treatment such patients. The risks of surgical treatment are potential injury of the branches of the cranial nerves of the caudal group and the possible reconstruction of the carotid arteries. The combination of a tumor process with an atherosclerotic lesion of the carotid artery bifurcation is extremely rare. Single cases of both simultaneous and staged removal of the tumor and reconstruction of the carotid bifurcation due to atherosclerotic lesions are observed. We present a unique clinical case of simultaneous open surgical treatment of a patient with a large carotid chemodectoma type I according to the Shamblin classifi cation and hemodynamically significant atherosclerotic stenosis of the ipsilateral internal carotid artery. Accumulated expirience in treating patients with paragangliomas of the neck, as well as atherosclerotic lesions of the brachiocephalic arteries, allowed us to choose the optimal tactics of surgical treatment and achieve acceptable results.