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.
Keywords:
Angioplasty; Carotid artery diseases; Coronary artery bypass; Endarterectomy; Stroke; carotid.
© The Author(s) 2016.
MeSH terms
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Angina, Unstable / etiology
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Aphasia / etiology
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Blood Vessel Prosthesis Implantation*
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Cardiopulmonary Bypass
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Carotid Artery, Common / diagnostic imaging
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Carotid Artery, Common / physiopathology
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Carotid Artery, Common / surgery*
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Carotid Artery, Internal / diagnostic imaging
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Carotid Artery, Internal / physiopathology
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Carotid Artery, Internal / surgery*
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Carotid Stenosis / complications
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Carotid Stenosis / diagnostic imaging
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Carotid Stenosis / physiopathology
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Carotid Stenosis / surgery*
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Cerebrovascular Circulation*
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Computed Tomography Angiography
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Coronary Stenosis / complications
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Coronary Stenosis / diagnostic imaging
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Coronary Stenosis / physiopathology
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Coronary Stenosis / surgery*
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Endarterectomy, Carotid*
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Hemiplegia / etiology
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Humans
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Hypothermia, Induced
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Internal Mammary-Coronary Artery Anastomosis*
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Magnetic Resonance Angiography
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Male
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Middle Aged
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Recovery of Function
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Saphenous Vein / transplantation*
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Severity of Illness Index
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Stroke / diagnostic imaging
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Stroke / etiology
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Stroke / physiopathology
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Stroke / surgery*
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Treatment Outcome