title: Complete carotid and coronary revascularization in brain malperfusion.
abstract: A 54-year-old man presented with unstable angina and stroke with right hemiplegia and aphasia due to left main coronary plus 3-vessel disease, severe stenosis of bilateral internal carotid, proximal left common carotid, and proximal left subclavian arteries. Simultaneous complete revascularization was undertaken with the use of conventional cardiopulmonary bypass and moderate hypothermia (25℃). The left internal mammary artery and two saphenous vein grafts were used for coronary artery bypass, and brain revascularization consisted of a left aorta-to-common carotid Dacron graft and bilateral carotid endarterectomy. Recovery was good.
authors.affiliation: Division of Vascular Surgery, Hospital of Galdakao, Galdakao, Spain.
authors.forename: Claudia
authors.initials: C
authors.lastname: Aramendi
authors.affiliation: Division of Cardiac Surgery, Cruces University Hospital, Barakaldo, Spain.
authors.forename: Alain
authors.initials: A
authors.lastname: Cubero
authors.affiliation: Division of Cardiac Surgery, Cruces University Hospital, Barakaldo, Spain.
authors.forename: Andrés
authors.initials: A
authors.lastname: Cortés
authors.affiliation: Division of Cardiac Surgery, Cruces University Hospital, Barakaldo, Spain.
authors.forename: Daniel
authors.initials: D
authors.lastname: Rivas
authors.affiliation: Division of Cardiac Surgery, Cruces University Hospital, Barakaldo, Spain.
authors.forename: Alejandro
authors.initials: A
authors.lastname: Crespo
authors.affiliation: Division of Cardiac Surgery, Cruces University Hospital, Barakaldo, Spain ji.aramendi@me.com.
authors.forename: José I
authors.initials: JI
authors.lastname: Aramendi
mesh_terms: D000789:Angina, Unstable / Q000209:etiology; D001037:Aphasia / Q000209:etiology; D019917:Blood Vessel Prosthesis Implantation; D002315:Cardiopulmonary Bypass; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D016893:Carotid Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D002560:Cerebrovascular Circulation; D000072226:Computed Tomography Angiography; D023921:Coronary Stenosis / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D016894:Endarterectomy, Carotid; D006429:Hemiplegia / Q000209:etiology; D006801:Humans; D007036:Hypothermia, Induced; D007387:Internal Mammary-Coronary Artery Anastomosis; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D020127:Recovery of Function; D012501:Saphenous Vein / Q000637:transplantation*; D012720:Severity of Illness Index; D020521:Stroke / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome
keywords: Angioplasty; Carotid artery diseases; Coronary artery bypass; Endarterectomy; Stroke; carotid