Complete carotid and coronary revascularization in brain malperfusion. (September 2016)

• Record Type: Journal Article
• Authors: Aramendi, Claudia; Cubero, Alain; Cortés, Andrés; Rivas, Daniel; Crespo, Alejandro; Aramendi, José I
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 24:Number 7(2016)
• Page Start: 709
• Page End: 711
• Publication Date: 2016-09
• Subjects: Angioplasty -- Carotid artery diseases -- Coronary artery bypass -- Endarterectomy -- carotid -- Stroke; Heart -- Diseases -- Asia -- Periodicals; Heart -- Diseases -- Pacific Area -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Surgery -- Asia -- Periodicals; Heart -- Surgery -- Pacific Area -- Periodicals; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Asia -- Periodicals; Chest -- Surgery -- Pacific Area -- Periodicals; Chest -- Surgery -- Periodicals; 617.412
• DOI: 10.1177/0218492316639406
• Languages: English
• ISSNs: 0218-4923

Abstract

A 54-year-old man presented with unstable angina and stroke with right hemiplegia and aphasia due to left main coronary plus 3-vessel disease, severe stenosis of bilateral internal carotid, proximal left common carotid, and proximal left subclavian arteries. Simultaneous complete revascularization was undertaken with the use of conventional cardiopulmonary bypass and moderate hypothermia (25℃). The left internal mammary artery and two saphenous vein grafts were used for coronary artery bypass, and brain revascularization consisted of a left aorta-to-common carotid Dacron graft and bilateral carotid endarterectomy. Recovery was good.