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Concomitant carotid endarterectomy and aortic valve replacement in a patient with high risk of perioperative stroke

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Abstract

Surgical strategy for significant carotid artery stenosis complicated with severe aortic valve stenosis is still controversial. Herein, we report a case of 80-year-old female in whom 78% stenosis by the NASCET criteria in left internal carotid artery was pointed out during preoperative checkup for symptomatic severe aortic stenosis. Carotid endarterectomy was done concomitantly with aortic valve replacement. No neurological complication occurred perioperatively.

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Authors and Affiliations

  1. Department of Cardiac Surgery, International University of Health and Welfare, Mita Hospital, 1-4-3, Mita, Minato-ku, Tokyo, 108-8329, Japan

    Shunsuke Saito, Teruya Nakamura & Teruaki Ushijima

  2. Department of Vascular Surgery, International University of Health and Welfare, Mita Hospital, Tokyo, Japan

    Mitsuru Matsukura, Nobuto Origuchi, Kunihiro Shigematsu & Yukio Obitsu

Authors
  1. Shunsuke Saito
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  2. Teruya Nakamura
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  3. Mitsuru Matsukura
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  4. Nobuto Origuchi
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  5. Kunihiro Shigematsu
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  6. Yukio Obitsu
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  7. Teruaki Ushijima
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Correspondence to Shunsuke Saito.

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Saito, S., Nakamura, T., Matsukura, M. et al. Concomitant carotid endarterectomy and aortic valve replacement in a patient with high risk of perioperative stroke. Gen Thorac Cardiovasc Surg 68, 170–173 (2020). https://doi.org/10.1007/s11748-018-1035-6

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  • DOI: https://doi.org/10.1007/s11748-018-1035-6

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