title: [A case report of concomitant carotid and coronary artery reconstruction].
abstract: We reported a case of a 70-year-old female who underwent simultaneous carotid endarterectomy and coronary artery bypass surgery. Preoperatively, cardiac catheterization demonstrated three vessel coronary artery disease. Her carotid angiogram revealed a 90% stenosis in the left common carotid artery. The cerebral blood flow scintigram on acetazolamide stress detected severely reduced cerebral blood flow on her left anterior and temporal lobe. Her postoperative course was uneventful. Postoperatively, no reduced cerebral blood flow was detected on the acetazolamide stress image. In patients with significant carotid artery stenosis, the cerearal blood flow scintigraphy on acetazolamide stress was a useful method for the simultaneous carotid endarterectomy and coronary artery bypass surgery.
authors.affiliation: Division of Cardiovascular Surgery, Toranomon Hospital, Tokyo, Japan.
authors.forename: I
authors.initials: I
authors.lastname: Hayashi
authors.forename: H
authors.initials: H
authors.lastname: Makuuchi
authors.forename: Y
authors.initials: Y
authors.lastname: Naruse
authors.forename: T
authors.initials: T
authors.lastname: Kobayashi
authors.forename: T
authors.initials: T
authors.lastname: Yamamoto
authors.forename: A
authors.initials: A
authors.lastname: Hariya
authors.forename: H
authors.initials: H
authors.lastname: Maruno
authors.forename: H
authors.initials: H
authors.lastname: Murata
authors.forename: M
authors.initials: M
authors.lastname: Usui
mesh_terms: D000086:Acetazolamide; D000368:Aged; D017536:Carotid Artery, Common; D016893:Carotid Stenosis / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D002560:Cerebrovascular Circulation; D001026:Coronary Artery Bypass; D016894:Endarterectomy, Carotid; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D015899:Tomography, Emission-Computed, Single-Photon
chemical_list: D000086:Acetazolamide