title: Carotid revascularization in patient with asymptomatic unilateral carotid stenosis undergoing coronary bypass--a futile effort!
abstract: The best management of asymptomatic carotid artery disease in patient who needs coronary bypass remains controversial. We report the neurological outcome of four patients with asymptomatic unilateral significant carotid artery disease who underwent conventional coronary bypass without carotid revascularization. Our review highlighted the risk of perioperative stroke is not increased despite carotid revascularization was not performed. Asymptomatic carotid artery disease is not the cause for cerebral infarct but soft aortic atheroma encountered during surgery is the main culprit.
authors.affiliation: Department of Surgery, Universiti Kebangsaan Malaysia; Divisions of Cardiothoracic Surgery, and Cardiothoracic Anesthesia, Heart and Lung Centre, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.
authors.forename: F Y
authors.initials: FY
authors.lastname: Chai
authors.forename: I M
authors.initials: IM
authors.lastname: Ishamuddin
authors.forename: H
authors.initials: H
authors.lastname: Hairulfaizi
authors.forename: S M
authors.initials: SM
authors.lastname: Joanna
authors.forename: A R M
authors.initials: AR
authors.lastname: Ramzisham
mesh_terms: D000368:Aged; D016893:Carotid Stenosis / Q000601:surgery*; D001026:Coronary Artery Bypass; D006801:Humans; D008297:Male; D008875:Middle Aged