雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Concomitant Surgery for Symptomatic Severe Carotid Artery Stenosis and Aortic Valve Stenosis with Contralateral Internal Carotid Artery Occlusion:A Case Report Tomonori TAKESHITA 1 , Kohei ISHIHARA 1 , Yuu MURAKAMI 2 , Hiroshi MUNAKATA 2 , Katsuhito MABUNI 2 , Tadao KUGAI 2 , Tomoaki NAGAMINE 1 1Department of Neurosurgery, Prefectural Okinawa Nanbu Medical Center and Childre's Medical Center 2Department of Cardiovascular Surgery, Prefectural Okinawa Nanbu Medical Center and Children's Medical Center Keyword: internal carotid artery stenosis , aortic valve stenosis , endarterectomy , aortic valve replacement pp.409-415
Published Date 2017/5/10
DOI https://doi.org/10.11477/mf.1436203524
  • Abstract
  • Look Inside
  • Reference

 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.


Copyright © 2017, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

関連文献

もっと見る

文献を共有