Simultaneous approach of internal carotid artery revascularization at the base of the skull and coronary arteries bypass without extracorporeal circulation
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Grigol Keshelava, MD, PhD · Kakha Beselia, MD, PhD Merab Nachkepia, MD · Giorgi Janashia, MD Kakha Nuralidze, MD, PhD
- چاپ و سال / کشور: 2011
Description
The best surgical approach for the treatment of patients with severe cerebral artery disease and simultaneous serious coronary artery disease remains controversial. In this report, we present a case of a 65-year-old man admitted to the hospital with unstable angina. Triple coronary artery obstructive disease and severe right internal carotid artery stenosis in the retroparotid region were diagnosed. A combined, simultaneous surgical procedure was performed. A lesion located in the retroparotid space required an approach by a presternocleidomastoid cervicotomy extended distally. Venous grafting of the internal carotid artery was performed. After carotid reconstruction, the three coronary arteries were revascularized without extracorporeal circulation. The patient showed a satisfactory postoperative outcome.
Gen Thorac Cardiovasc Surg (2011) 59:495–498 DOI 10.1007/s11748-010-0725-5 Received: 14 June 2010 / Accepted: 5 October 2010
