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Asymptomatic severe carotid stenosis undergoing staged carotid artery stent and coronary artery bypass grafting: decisive role of brain single photon emission computed tomography

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Abstract

Effort angina of a 70-year-old man was diagnosed as due to triple coronary vessel disease, and he was scheduled to undergo coronary artery bypass surgery. Preoperative carotid duplex scan revealed more than 75% stenosis of the right internal carotid artery, which was functionally proven to be significantly ischemic on brain single photon emission computed tomography. Although he was neurologically asymptomatic, we chose staged surgery for fear of stroke during coronary artery bypass surgery. He had successful carotid artery stenting first by neurosurgeons; then, 2 months later he underwent uneventful coronary artery bypass surgery. This experience prompted us to report the case.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Gifu Prefectural Tajimi Hospital, 5-161 Maehata-cho, Tajimi, Gifu, 507-8522, Japan

    Min-Ho Song, Tomohiro Nakayama & Keisuke Hattori

  2. Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan

    Shigeru Miyachi

Authors
  1. Min-Ho Song
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  2. Tomohiro Nakayama
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  3. Keisuke Hattori
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  4. Shigeru Miyachi
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Correspondence to Min-Ho Song.

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Song, MH., Nakayama, T., Hattori, K. et al. Asymptomatic severe carotid stenosis undergoing staged carotid artery stent and coronary artery bypass grafting: decisive role of brain single photon emission computed tomography. Gen Thorac Cardiovasc Surg 57, 40–42 (2009). https://doi.org/10.1007/s11748-008-0323-y

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  • DOI: https://doi.org/10.1007/s11748-008-0323-y

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