Concomitant carotid endarterectomy and aortic valve replacement in a patient with high risk of perioperative stroke.
Shunsuke SaitoTeruya NakamuraMitsuru MatsukuraNobuto OriguchiKunihiro ShigematsuYukio ObitsuTeruaki UshijimaPublished in: General thoracic and cardiovascular surgery (2018)
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.
Keyphrases
- aortic valve replacement
- aortic valve
- aortic stenosis
- transcatheter aortic valve implantation
- transcatheter aortic valve replacement
- internal carotid artery
- ejection fraction
- patients undergoing
- left ventricular
- early onset
- middle cerebral artery
- coronary artery disease
- case report
- atrial fibrillation
- cerebral ischemia
- cardiac surgery
- heart failure
- acute kidney injury