Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Surgical treatment of patients with alveolar structure of chemodectoma

Authors: N.A. Darvish, M.F. Eseneev, R.R. Valieva, D.A. Lavrent’ev, B.S. Khostegyan

Company:
Bakoulev National Medical Research Center for Cardiovascular Surgery, Ministry of Health of the Russian Federation, Rublevskoe shosse, 135, Moscow, 121552, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

DOI: https://doi.org/10.24022/1814-6910-2019-16-1-63-66

UDC: 616.12-006.488-089

Link: Clinical Physiology of Blood Circulaiton. 2019; 16 (1): 63-66

Quote as: Darvish N.A., Eseneev M.F., Valieva R.R., Lavrent’ev D.A., Khostegyan B.S. Surgical treatment of patients with alveolar structure of chemodectoma. Clinical Physiology of Circulation. 2019; 16 (1): 63–6 (in Russ.). DOI: 10.24022/1814-6910-2019-16-1-63-66

Received / Accepted:  04.10.2018/05.10.2018

Download
Full text:  

Abstract

This case report describes the case of successful surgical treatment of carotid alveolar chemodectoma with preservation of structural integrity of the main arteries. Although among the extraorganic tumors the necks of chemodectoma are rare (0.5 to 0.9% of cases), but among neurogenic tumors of the neck they account for 37%. The rarity of the disease and the scarcity of the symptoms explain the complexity of diagnosing this pathology. The correct diagnosis is established in 10–40% of patients. This clinical case clearly shows that the timely diagnosis of a chemodectoma allows to remove it before significant degenerative changes of the vessel walls occur, and the use of modern diagnostic methods allows us to work out tactics of surgical treatment, that allows carrying out removal of the chemodectoma without prosthetics of the internal carotid artery and violation of the structural integrity of the carotid arteries. This reduces the risk of postoperative neurological complications, and allows patients not to take life-long antiaggregants.

References

  1. Дудицкая Т.К., Матякин Е.Г. Клинические варианты хемодектом шеи. Сборник научных трудов. М.; 1993: 42–6.
  2. Аракелян В.С., Газимагомедов З.И., Букацелло Р.Г. Случай успешного хирургического лечения хемодектомы IV типа. Креативная кардиология. 2016; 10 (1): 84–8.
  3. Матякин Е.Г., Дан В.Н., Шубин А.А., Вельшер Л.З., Дудицкая Т.К. Параганглиомы шеи (хемодектома). М.: Вердана; 2005.
  4. Аракелян В.С., Газимагомедов З.И., Абдулгасанов Р.А. Диагностика и результаты хирургического лечения каротидных хемодектом. Креативная кардиология. 2015; 2: 72–80.
  5. Атанасян Л.А. Хемодектома. М.: Медицина; 1967.

About Authors

  • Nidal A. Darvish, Cand. Med. Sc., Head of Department of Surgical Treatment of Cerebrovascular Disorders; orcid.org/0000-0002-2152-4730
  • Mussa F. Eseneev, Cand. Med. Sc., Cardiovascular Surgeon; orcid.org/0000-0001-7439-6579
  • Ramilya R. Valieva, Cardiologist; orcid.org/0000-0002-7155-9210
  • Dmitriy A. Lavrent'ev, Student
  • Bagrat S. Khostegyan, Resident Physician

 If you found mistakes, select text and press Alt+A