Synchronous carotid endarterectomy and coronary artery bypass graft: Four case reports  

作　　者：Faisal Khader AlGhamdi Abdulmajeed Altoijry Abdulrahman AlQahtani Mohammed Yousef Aldossary Sultan Omar AlSheikh Kaisor Iqbal Walid Abdulaziz Alayadhi 

机构地区：[1]Department of Cardiac Surgery,King Saud University,Riyadh 11322,Saudi Arabia [2]Department of Surgery,King Saud University,Riyadh 11322,Saudi Arabia [3]King Fahad Cardiac Center,King Saud University Medical City,Riyadh 11322,Saudi Arabia [4]Department of General Surgery,King Saud University,Riyadh 11322,Saudi Arabia [5]Department of Surgery,Dammam Medical Complex,Dammam 32245,Saudi Arabia

出　　处：《World Journal of Clinical Cases》2023年第36期8581-8588,共8页世界临床病例杂志

摘　　要：BACKGROUND One of the major perioperative complications for coronary artery bypass graft(CABG)is stroke.The risk of perioperative stroke after CABG is approximately 2%.Carotid stenosis(CS)is considered an independent predictor of perioperative stroke risk in CABG patients.The optimal management of such patients has been a source of controversy.One of the possible surgical options is synchronous carotid endarterectomy(CEA)and CABG.Here,we have presented 4 cases of successful synchronous CEA and CABG.Our center’s experience with 4 cases of significant carotid artery stenosis,which were successfully managed with combined CEA and CABG,are detailed.The first case was a female who presented for CABG after a ST-elevation myocardial infarction.She had right internal carotid artery(ICA)occlusion and 90%left ICA stenosis.The second case was a male who was electively admitted for CABG.It was discovered that he had left ICA occlusion and 90%right ICA stenosis.The third case was a male with a history of stroke,two months prior to admission.He presented with non-ST-elevation myocardial infarction.Preoperatively,it was discovered that he had>90%right ICA stenosis.The final case was a male who was electively admitted for CABG.It was discovered that he had bilateral>90%ICA stenosis.We have also reviewed the current evidence and guidelines for managing CS in patients undergoing CABG.CONCLUSION Our case series demonstrated that synchronous CEA and CABG was safe.A multicenter study with additional patients is needed.It is necessary for clinicians to screen for CS in high-risk patients with features.

关 键 词：Carotid artery stenosis Carotid endarterectomy Coronary artery bypass grafting Coronary artery disease SYNCHRONOUS Case report 

分 类 号：R654.3[医药卫生—外科学]