Although carotid artery disease can occur in patients who have coronary artery disease (CAD), ostial stenosis of a left common carotid artery (CCA) along with CAD is a rarely reported condition.
Case report
We describe a rare case of severe stenosis of the left CCA ostium and CAD, which were successfully treated with an off-pump coronary artery bypass and aorto-left CCA bypass. This strategy minimizes the risk of perioperative strokes. Furthermore, an aorto-supra aortic trunk bypass provides a more physiological blood flow pattern than cerebral approaches. This approach would be a safe and effective treatment option.
TazumeHOkamotoKFukuiT.Concomitant aorto-right subclavian artery bypass with off-pump coronary artery bypass grafting: a case report.J Cardiothorac Surg2017;
12: 90.
4.
PaukovitsTMHaászJMolnárA, et al.
Transfemoral endovascular treatment of proximal common carotid artery lesions: a single-center experiencee on 153 lesions. J Vasc Surg2008;
48: 80–87.
5.
DumontTMEllerJLMokinM, et al.
Transfemoral endovascular treatment of atherosclerotic stenotic lesions of the left common carotid artery ostium: case series and review of the literature. J Neurointerv Surg2013;
5: 539–542.
6.
KhalilANashefSA.An alternative surgical approach to subclavian and innominate stenosis: a case series.J Cardiothorac Surg2010;
5: 73.
