The authors describe herein a case of successful surgical management of a 55-year-old male patient presenting with a multifocal atherosclerotic lesion of brachiocephalic arteries. The diagnosis was confirmed by DS with CDM, MSCT angiography. Intraoperatively revealed were up to 80% stenosis of the ostium of the left common carotid artery and up to 80% stenosis of the brachiocephalic trunk. The patient underwent aortic-bicarotid-subclavian trifurcation bypass grafting with a synthetic prosthesis. Analysing the early postoperative period and the findings obtained by MSCT angiography showed satisfactory therapeutic outcomes.

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