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Management of Concomitant Coronary and Bilateral Carotid Artery Disease: A Case Report
Author(s) -
Kiriş İlker,
Gülmen Şenol,
Yılmaz Saim,
Okutan Huseyin
Publication year - 2007
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2007.00358.x
Subject(s) - medicine , concomitant , coronary artery disease , cardiology , carotid arteries , carotid artery disease , carotid endarterectomy
Patients with severe coexistent coronary and carotid artery stenosis represent a difficult and high‐risk population. Herein we describe management of a patient with concomitant coronary artery and bilateral carotid artery disease. Firstly, left carotid artery stenting was done using a self‐expandable monorail stent and a neurological protective device. Poststent angiogram revealed satisfactory dilatation in the left carotid artery. Later, coronary artery bypass grafting to the four coronary arteries was done. Then right carotid endarterectomy was done. He had no neurological complication during or after any of the operation and he remains in good health since his last operation. We think the staged treatment, consisting of carotid artery stenting plus coronary artery bypass grafting plus carotid endarterectomy, in a patient with concomitant severe coronary artery and bilateral carotid artery disease is feasible, safe, and may be an alternative to combined coronary artery bypass grafting plus carotid endarterectomy.