[A coronary artery bypass grafting using cardiopulmonary bypass with intraaortic balloon pumping in patient with low cardiac function combined with cerebral vascular disease].
We reported a 55-year-old man, who had coronary and cerebral vascular disease. Cerebral angiography showed occlusion at left internal carotid artery (ICA) and 50% stenosis at right ICA C4 portion. But acetazolamide reactivity was kept symmetrically. Coronary angiography showed severe three vessel disease, and left ventriculography showed diffuse severe hypokinesis/akinesis, and EF was below 30%. The patient underwent coronary artery bypass grafting using cardiopulmonary bypass with intraaortic balloon pumping to keep intraoperative blood pressure high. After the operation he recovered uneventfully without neurological complication.
Nishida
M
M
First Department of Surgery, Yamaguchi University School of Medicine, Ube, Japan.
Gohra
H
H
Hirata
K
K
Ikeda
N
N
Mikamo
A
A
Okada
H
H
Hamano
K
K
Zempo
N
N
Esato
K
K
D002303:Cardiac Output, Low / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D002561:Cerebrovascular Disorders / Q000209:etiology* / Q000517:prevention & control; D001026:Coronary Artery Bypass / Q000379:methods*; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D008875:Middle Aged