Concomitant carotid endarterectomy and aortic valve replacement in a patient with high risk of perioperative stroke.

Autor: Saito S; Department of Cardiac Surgery, International University of Health and Welfare, Mita Hospital, 1-4-3, Mita, Minato-ku, Tokyo, 108-8329, Japan. shunsaito0404@gmail.com., Nakamura T; Department of Cardiac Surgery, International University of Health and Welfare, Mita Hospital, 1-4-3, Mita, Minato-ku, Tokyo, 108-8329, Japan., Matsukura M; Department of Vascular Surgery, International University of Health and Welfare, Mita Hospital, Tokyo, Japan., Origuchi N; Department of Vascular Surgery, International University of Health and Welfare, Mita Hospital, Tokyo, Japan., Shigematsu K; Department of Vascular Surgery, International University of Health and Welfare, Mita Hospital, Tokyo, Japan., Obitsu Y; Department of Vascular Surgery, International University of Health and Welfare, Mita Hospital, Tokyo, Japan., Ushijima T; Department of Cardiac Surgery, International University of Health and Welfare, Mita Hospital, 1-4-3, Mita, Minato-ku, Tokyo, 108-8329, Japan.
Jazyk: angličtina
Zdroj: General thoracic and cardiovascular surgery [Gen Thorac Cardiovasc Surg] 2020 Feb; Vol. 68 (2), pp. 170-173. Date of Electronic Publication: 2018 Nov 15.
DOI: 10.1007/s11748-018-1035-6
Abstrakt: Surgical strategy for significant carotid artery stenosis complicated with severe aortic valve stenosis is still controversial. Herein, we report a case of 80-year-old female in whom 78% stenosis by the NASCET criteria in left internal carotid artery was pointed out during preoperative checkup for symptomatic severe aortic stenosis. Carotid endarterectomy was done concomitantly with aortic valve replacement. No neurological complication occurred perioperatively.
Databáze: MEDLINE
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