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KMID : 0364019950280090876
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Korean Journal of Thoracic and Cardiovascular Surgery
1995 Volume.28 No. 9 p.876 ~ p.880
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Surgical Management of Coronary Artery Disease Combined with Carotid Artery Stenosis -A Report of Two Cases-
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Abstract
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The optimal surgical approach to the patients with coronary artery disease combined with carotid artery stenosis is controversial. We report two cases of successful surgical management of the patients with combined obstructive coronary and
carotid
artery disease.
The first case was a 69-year-old female who had unstable angina pectoris and a past medical history of left carotid endarterectomy. She was revealed to have triple vessel coronary disease and nearly total occlusion of right internal carotid
artery.
She
was undergone staged right carotid endarterectomy 10 days before coronary bypass surgery. The second case, a 54-year-old male with a past medical history of left hemiparesis and dysarthria, was admitted due to unstable angina pectoris. He was
revealed
to have triple-vessel coronary disease and more than 90% stenosis of left internal carotid artery and 50% stenosis of right internal carotid artery. In the latter case, a combined coronary bypass surgery and left carotid endarterectomy was done.
In
both
cases, postoperative neurologic complications were not observed.
(Korean J Thorac Cardiovasc Surg 1995;28:876-80)
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