Aorto-left common carotid artery bypass with off-pump coronary artery bypass. (May 2022)

• Record Type: Journal Article
• Authors: Nagata, Tomoki; Yamada, Takashi; Johno, Hiroyuki
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 30:Number 4(2022)
• Page Start: 471
• Page End: 473
• Publication Date: 2022-05
• Subjects: Proximal common carotid artery stenosis -- coronary artery disease -- off-pump coronary artery bypass -- aorto-carotid artery bypass; 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: 10.1177/02184923211010084
• Languages: English
• ISSNs: 0218-4923

Abstract

Background: Although carotid artery disease can occur in patients who have coronary artery disease (CAD), ostial stenosis of a left common carotid artery (CCA) along with CAD is a rarely reported condition. Case report: We describe a rare case of severe stenosis of the left CCA ostium and CAD, which were successfully treated with an off-pump coronary artery bypass and aorto-left CCA bypass. This strategy minimizes the risk of perioperative strokes. Furthermore, an aorto-supra aortic trunk bypass provides a more physiological blood flow pattern than cerebral approaches. This approach would be a safe and effective treatment option.