Simultaneous myocardial and supra-aortic trunks revascularization.
We report the case of a 58-year-old patient, with a three vessel disease with unstable angina. Due to refractory angina, she was referred to urgent coronary artery bypass graft (CABG). In the preoperative evaluation were found severe obstructive lesions in the brachiocephalic trunk origin, left common carotid origin and left internal carotid artery. The patient underwent CABG, supra-aortic trunks revascularization (extra-anatomic bypass) and carotid endarterectomy in the same procedure. She presented an uneventful recovery and was discharged home on the seventh postoperative day. Currently, two years after the procedure, she continues under follow-up, symptomless.
Cardiology Institute of Federal District, Brasília, and Federal University of Uberlândia, MG, Brazil. claudiorcunha@hotmail.com
Claudio Ribeiro da
CR
Cunha
Paulo César
PC
Santos
Fernando Antibas
FA
Atik
Daniel Oliveira
DO
de Conti
D054058:Acute Coronary Syndrome / Q000601:surgery*; D000714:Anastomosis, Surgical / Q000379:methods; D000789:Angina, Unstable / Q000601:surgery*; D016122:Brachiocephalic Trunk / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000601:surgery*; D001026:Coronary Artery Bypass; D004630:Emergencies; D016894:Endarterectomy, Carotid; D005260:Female; D006801:Humans; D008875:Middle Aged; D011093:Polyethylene Terephthalates
D011093:Polyethylene Terephthalates