[Management of coexistent advanced coronary artery disease and internal carotid artery stenosis].
We discuss a case of a 60-year old man admitted to our Department with symptoms of unstable angina and stenosis of carotid artery. Coronary angiography revealed three-vessel coronary artery disease. Doppler ultrasound (USG) and multislice spiral computed tomography (MSCT) of carotid and vertebral arteries showed a high-grade stenosis of the left internal carotid artery with a poststenotic aneurysm containing thrombi. Since the risk of a simultaneous coronary artery bypass grafting (CABG) and carotid endarterectomy (CEA) was assessed as high, a two-staged procedure was performed. The CEA was performed first and one month later patient underwent CABG with a good result.
Kabłak-Ziembicka
Anna
A
Klinika Chorób Serca i Naczyń Instytutu Kardiologii Collegium Medicum Uniwersytetu Jagiellońskiego w Krakowie.
Hlawaty
Marta
M
Sadowski
Jerzy
J
Pieniazek
Piotr
P
Pasowicz
Mieczysław
M
Tracz
Wiesława
W
D000789:Angina, Unstable / Q000150:complications; D002343:Carotid Artery, Internal / Q000473:pathology* / Q000601:surgery*; D016893:Carotid Stenosis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D015150:Echocardiography, Doppler; D016894:Endarterectomy, Carotid; D006801:Humans; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D016896:Treatment Outcome