Clinical observations

doi: 10.25005/2074-0581-2017-19-4-571-575

A.D. Gaibov1, O. Nematzoda2, D.D. Sultanov1, N.R. Kurbanov1, K.A. Abdusamadov2, Z.V. Gaibova3

1Department of Surgical Diseases № 2, Avicenna Tajik State Medical University, Dushanbe, Tajikistan
2Department of Vascular Surgery, Republican Scientific Center for Cardiovascular Surgery, Dushanbe, Tajikistan
3Department of Cardiology with a Course in Clinical Pharmacology, Institute of Postgraduate Education in Healthcare, Dushanbe, Tajikistan

The article submitted a case of successful diagnostics and surgical treatment of a rare case of inferior gluteal artery false aneurysm formation due to the expressed retrograde blood flow. The probability of such a mechanism of aneurysm formation is possible in zones with rich collateral communications between the main vessels, and where there is a high retrograde pressure. The difficulties in the clinical diagnosis of aneurysm are described because of its inaccessibility for the study, as well as the weak pulsation of the aneurysmal sac and the absence of systolic thrill. This variant of an aneurysm was formed when, during the primary surgical intervention, the proximal end of the damaged vessel was ligated, and its distal end, having contracted, disappeared from the surgeon’s field of vision. This led to the formation of an aneurysm 1.5 months after the injury. Aneurysmotomy performed and a suture was applied to a bleeding vessel participating in the formation of an aneurysm, with a good near and medium-distant result.

Keywords: Aneurysm, false aneurysm, iatrogenic vascular injury, aneurysmotomy.

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Authors' information:

Gaibov Alidzhon Dzhuraevich,
Corresponding Member of AMS of RT, Doctor of Medical Sciences, Full Professor, Professor of the Department of Surgical Diseases № 2, Avicenna TSMU

Nematzoda Okildzhon,
Candidate of Medical Sciences, Research Fellow of the Department of Vascular Surgery, Republican Scientific Center for Cardiovascular Surgery

Sultanov Javli Davronovich,
Doctor of Medical Sciences, Full Professor, Professor of the Department of Surgical Diseases № 2, Avicenna TSMU

Kurbanov Nuryagdy Rozmuratovich,
Candidate of Medical Sciences, Assistant of the Department of Surgical Diseases № 2, Avicenna TSMU

Abdusamadov Komil Abdulmarobovich,
Surgeon of the Department of Vascular Surgery, Republican Scientific Center for Cardiovascular Surgery

Gaibova Zaynura Validzhonovna,
Assistant of the Department of Cardiology with the Course of Clinical Pharmacology, Institute of Postgraduate Education in Healthcare

Conflicts of interest: No conflict

Address for correspondence:

Nematzoda Okildzhon

Candidate of Medical Sciences, Research Fellow, Department of Vascular Surgery, Republican Scientific Center for Cardiovascular Surgery

734003, Republic of Tajikistan, Dushanbe, str. Sanoi, 33

Tel.: (+992) 915 250055


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