• Interact Cardiovasc Thorac Surg · May 2010

    Case Reports

    Safety of coronary artery bypass grafting in patients with bilateral total carotid occlusions.

    • Rafet Gunay, Yavuz Sensoz, Abdullah Kemal Tuygun, and Mahmut Murat Demirtas.
    • Department of Cardiovascular Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Center, Istanbul, Turkey. rafetgunay@hotmail.com
    • Interact Cardiovasc Thorac Surg. 2010 May 1; 10 (5): 825-7.

    AbstractThe presence of bilateral carotid artery occlusions in patients that require coronary artery bypass surgery is rare. Here, we report the successful coronary revascularization of two patients with cardiopulmonary bypass under moderate hypothermia. Routine preoperative carotid artery duplex sonographies revealed bilateral total internal carotid occlusions. However, no neurological deficits or abnormalities were found on clinical examination or brain computed tomography, respectively. The vertebral blood flows of both patients were also found to be highly increased. Following successful surgery, the postoperative courses were uneventful and patients were discharged from the hospital on the seventh postoperative day.2010 Published by European Association for Cardio-Thoracic Surgery. All rights reserved.

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