[Coronary revascularization in a patient with bilateral internal carotid artery stenosis and aneurysm of brachiocephalic artery: a case report].
A 67-year-old man with a twenty-year history of effort angina was referred to our hospital. He underwent successful PTCA for the right coronary artery and diagonal branch. However, his angina recurred three months after PTCA due to restenosis and he was recommended to undergo CABG. Because he had concomitant bilateral internal carotid artery stenosis and aneurysm of the brachiocephalic artery, we chose two-staged operation strategy to avoid cerebrovascular complication during CABG. First, he underwent bilateral carotid endarterectomy (CEA), and then he underwent concomitant CABG and grafting of brachiocephalic artery 12 days after CEA. After these operations he recovered uneventfully without neurological complication.
Kurihara
H
H
Department of Cardiovascular Surgery, Yamanashi Prefectual Central Hospital, Kofu, Japan.
Tsuchiya
K
K
Ohsawa
H
H
Saito
H
H
Iida
Y
Y
Noda
Y
Y
Koizumi
H
H
D000368:Aged; D000783:Aneurysm / Q000150:complications / Q000601:surgery*; D000789:Angina, Unstable / Q000150:complications / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D001916:Brachial Artery / Q000601:surgery; D002343:Carotid Artery, Internal / Q000601:surgery; D016893:Carotid Stenosis / Q000150:complications / Q000601:surgery*; D001026:Coronary Artery Bypass; D016894:Endarterectomy, Carotid; D006801:Humans; D008297:Male; D016896:Treatment Outcome