Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 1 de 1
Filter
Add more filters










Database
Publication year range
1.
No Shinkei Geka ; 45(5): 409-415, 2017 May.
Article in Japanese | MEDLINE | ID: mdl-28490683

ABSTRACT

We report a case of concomitant carotid endarterectomy(CEA)and aortic valve replacement(AVR)for symptomatic severe carotid artery and aortic valve stenosis(AS). A 77-year-old man, presented to our hospital with AS complicated by right internal carotid artery(ICA)stenosis and left ICA occlusion, seeking treatment for AS. He suffered from left hemiparesis, and diffusion-weighted magnetic resonance imaging(MRI)showed multiple ischemic lesions in the right cerebral hemisphere. He was admitted to our neurosurgical department and received treatment for acute cerebral infarction caused by severe right ICA stenosis. The symptomatic severe right ICA stenosis was an indication for surgical treatment, but simple carotid revascularization of the stenosed ICA was considered to be deteriorated the cardiac function due to untreated AS. Thus, we decided to perform concomitant carotid and valvular surgery. The patient underwent a combined CEA and AVR procedure with the introduction of an intraoperative intra-aortic balloon pump. His postoperative course was uneventful even 12 months after the surgery. Management and surgical strategies for patients with concomitant ICA stenosis and AS continue to be controversial subjects. Combined carotid and cardiac valve surgery is considered to be effective in such cases, and we discuss its implications and review of literature.


Subject(s)
Aortic Valve Stenosis/complications , Aortic Valve Stenosis/surgery , Carotid Artery Diseases/complications , Carotid Artery Diseases/surgery , Carotid Stenosis/complications , Carotid Stenosis/surgery , Aged , Aortic Valve Stenosis/diagnostic imaging , Carotid Artery Diseases/diagnostic imaging , Carotid Stenosis/diagnostic imaging , Humans , Imaging, Three-Dimensional , Magnetic Resonance Imaging , Male , Treatment Outcome
SELECTION OF CITATIONS
SEARCH DETAIL
...