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Unilateral Brachial Artery Antegrade Selective Cerebral Perfusion Following Carotid Endarterectomy for Carotid, Coronary, and Aortic Aneurysmal Surgery
Author(s) -
Saritas Ahmet,
Yavas Soner,
Kervan Umit,
Demirtas Ertan,
Ulus Ahmet T.
Publication year - 2009
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.1540-8191.2008.00726.x
Subject(s) - medicine , carotid endarterectomy , cardiology , cerebral perfusion pressure , ascending aorta , endarterectomy , aneurysm , aorta , perfusion , surgery , stenosis
In the presence of multiple concomitant occlusive and aneurysmal diseases, selection of the brain protection method is a primary concern. A case with a disease triad of stenotic lesions in internal carotid arteries, coronary artery atherosclerosis, and an ascending‐arcus aorta aneurysm is presented. We simultaneously performed right carotid endarterectomy, coronary artery bypass grafting, and graft replacement of the ascending‐arcus aorta. Brain protection was achieved with continuous right brachial artery antegrade selective cerebral perfusion under moderate hypothermia, following carotid endarterectomy. The operative technique is detailed and antegrade selective cerebral perfusion following the carotid endarterectomy for aneurysmal surgery is discussed.