VASCULAR DISEASE CT ANGIOGRAPHY & OPERATIVE TREATMENT
Academician Zan Mitrev MD (born 1961 in Shtip) cardiovascular surgeon. He finished the medical faculty in Skopje, Macedonia and surgery specialization at Rebro Clinic in Zagreb. During the specialization, he finished postgraduate studies. Several years he had worked as a cardiac surgeon in University Clinic Johan Wolfgang Goethe in Frankfurt. Two years he worked with prof. Turina in Zurich. He performs his first heart transplantation in 1997. In year 2000 he opened the first private cardiac surgery hospital in Macedonia. Several awards were granted to him regarding his work. He performed more than 10.000 cardiovascular procedures.
Variety of vascular surgical procedures are performed in special hospital for surgery Fillip II, such as: carotid artery surgery (thrombendaterectomy with direct suture or patch plastique, shortening of the carotid artery in symptomatic kinking etc.). Lately, surgical treatment of acute cerebral ischemia (4 hours) has been introduced. Postoperative results has shown complete regression of neurological sings in patients with acute TIA. Operative treatment of peripherial arterial vessels using venous, PTFE graft or thrombendaterectomy with patch plastique). Surgery of aorta: replacement of aorta ascendens with graft, native valve repair and reimplantation of coronary arteries (Tirone David), reconstruction of aortic root, replacement of ascendens and hemiarcus with Albograft, replacement of the thoracic, abdominal and whole aorta with reimplantation of all the branches of the aortic arch, mesenterical arteries, renal arteries as well as truncus coelliacus.
Carotid Artery Disease
Carotid endarterectomy
, because of significant stenosis
left carotid artery
Carotid Artery Disease
Plastic artery
(patch) repair of the carotid artery in carotid endarterectomy, because of significant stenosis
left carotid
Carotid Artery Disease
Operative treatement of symptomatic
Kinking od right Carotid artery
Carotid Artery Disease
Plastic (patch) repair of the carotid artery in carotid endarterectomy (left), vascular graft (right) eral significant stenosis
, because of bilat-
Carotid Artery Disease
Occlusion after carotid endarterectomy right, resection of right ACI and T-T anastomosis with saphenous vein (3mm)
Carotid Artery Disease
Carotid - subclavian (synthetic) bypass
because of occlusion of left subclavian artery
Carotid Artery Disease
Operative treatment of giant aneyrism
of left internal carotid artery and T-T anastomosis
with saphenous vein
Carotid Artery Disease
Carotid endarterectomy
of the carotid artery, because of occlusion of left internal carotid artery
Carotid Artery Disease
Carotid - carotid
(synthetic) bypass
Abdominal aortic aneyrism
Replacement of infrarenal abdominal aorta with
graft
Lidija Veljanovska, MD, and Nikola MDHristov, MD Mitrev, MD, Lidija Veljanovska, MD, Hristov, and Nikola
y “Filip Vtori,” Skopje, Macedonia Hospital for Surgery “Filip Vtori,” Skopje, Macedonia
Aorto-Bilateral-Femoral-Bilateral-Popliteal Bypass for Leriche Syndrome With Occlusion of Both Superficial Femoral Arteries
Ann Thorac Surg 2009;88:683 DOI: 10.1016/j.athoracsur.2008.11.006
Fig 1.
Fig 2.
Fig 2.
Lifesciences, Irvine, CA) Y-graftt Lifesciences, Irvine, CA) Y-graft, anastomosed
Aortobiiliac occlusive disease Leriche Syndrome
Aorto biiliac
(synthetic) bypass
Peripheral arterial occlusive disease
Femoro femoral
(synthetic) bypass, bilateral femoro poplietal
(synthetic)
Peripheral arterial occlusive disease
Femoro tibial
(saphenous vein) autogenous bypass
Peripheral arterial occlusive disease
Popliteo tibial
(saphenous vein) autogenous bypass
Peripheral arterial occlusive disease
Plastic
(patch) repair of the femoral artery in femoral endarterectomy
Peripheral arterial occlusive disease
Femoro-femoral
(synthetic) bypass, illiacofemoral
(synthetic) bypass left
Peripheral arterial occlusive disease
Femoro poplital (synthetic) bypass left, femoro tibial autogenous bypass (saphenous vein)right
Thoracic Aortic Aneurysm
Replacement of aorta ascendens and aortic arch with graft, reimplantation of cephalic arteries and mechanical valve replacement
Thoracic Aortic Aneurysm Aorta ascendens Aneurysm
Replacement of aorta ascendens (root) with graft, native valve repair and reimplantation of coronary arteries (Tirone David)
Thoracoabdominal Aortic Aneurysm
Replacement of thoracoabdominal aorta with truncus coeliacus
graft and reimplantation of
-old tro- man with abdominal pain, nausea and s diagnosed with thoracoabdominal aortic awford type III (Fig. 1). Immediate surgery DeBakey repair for type III aneurysm ed through 6ththoracoabdominal intercostalaortic space and retro-
peritoneally, e repair, aneury aneurysm neck
95 mm
Fig. 2. Postoperat ive 64 slice computerized tomography of Crawford type III Fig. 2. Postoperative 64 slice computerized tomography of repair for Crawfo l aortic aneurysm, maximal diameter of 10 cm. repair for Crawford type III thoracoabdominal aortic proxim aneur indicating Eeuropena Association for CardioThoracic Surgery 35 (2009) 905 indicating proximal end to side prosthesis implantation aorta; arrow on 2 imd aorta; arrow 2 implantation of the celiac trunk over short 10 graft on the prosth
pe III
Special Hospital for Surgical Diseases “FILIP II” bul. “Ilindenska”, 1000 Skopje, Republic of Macedonia Tel: +389 2 3091-500, +389 2 3091-484 www.cardiosurgery.com.mk