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Combined surgical treatment of symptomatic carotid, coronary and mesenteric occlusive disease
The surgical management of advanced symptomatic atherosclerotic disease in multiple distributions including the coronary circulation presents unique challenges due to the high risk of perioperative ischemic complications in the setting of coronary artery bypass grafting. We present a novel case of t...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7015075/ https://www.ncbi.nlm.nih.gov/pubmed/32064075 http://dx.doi.org/10.1093/jscr/rjz392 |
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author | Dali, Dante C Jhamb, Satvik Powell, C Steven Akhter, Shahab A |
author_facet | Dali, Dante C Jhamb, Satvik Powell, C Steven Akhter, Shahab A |
author_sort | Dali, Dante C |
collection | PubMed |
description | The surgical management of advanced symptomatic atherosclerotic disease in multiple distributions including the coronary circulation presents unique challenges due to the high risk of perioperative ischemic complications in the setting of coronary artery bypass grafting. We present a novel case of the combined surgical management of symptomatic carotid, coronary and mesenteric ischemic disease. The patient underwent carotid endarterectomy followed by combined coronary and mesenteric revascularization using cardiopulmonary bypass during the same hospital admission. He had an uncomplicated post-operative course and was discharged to home on post-operative day 7 after the combined procedure. Ninety-day follow-up was also unremarkable with the patient having no recurrent symptoms of ischemia. This case demonstrates the feasibility and safety of our approach for this rare clinical presentation. |
format | Online Article Text |
id | pubmed-7015075 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-70150752020-02-14 Combined surgical treatment of symptomatic carotid, coronary and mesenteric occlusive disease Dali, Dante C Jhamb, Satvik Powell, C Steven Akhter, Shahab A J Surg Case Rep Case Report The surgical management of advanced symptomatic atherosclerotic disease in multiple distributions including the coronary circulation presents unique challenges due to the high risk of perioperative ischemic complications in the setting of coronary artery bypass grafting. We present a novel case of the combined surgical management of symptomatic carotid, coronary and mesenteric ischemic disease. The patient underwent carotid endarterectomy followed by combined coronary and mesenteric revascularization using cardiopulmonary bypass during the same hospital admission. He had an uncomplicated post-operative course and was discharged to home on post-operative day 7 after the combined procedure. Ninety-day follow-up was also unremarkable with the patient having no recurrent symptoms of ischemia. This case demonstrates the feasibility and safety of our approach for this rare clinical presentation. Oxford University Press 2020-02-12 /pmc/articles/PMC7015075/ /pubmed/32064075 http://dx.doi.org/10.1093/jscr/rjz392 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2020. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Dali, Dante C Jhamb, Satvik Powell, C Steven Akhter, Shahab A Combined surgical treatment of symptomatic carotid, coronary and mesenteric occlusive disease |
title | Combined surgical treatment of symptomatic carotid, coronary and mesenteric occlusive disease |
title_full | Combined surgical treatment of symptomatic carotid, coronary and mesenteric occlusive disease |
title_fullStr | Combined surgical treatment of symptomatic carotid, coronary and mesenteric occlusive disease |
title_full_unstemmed | Combined surgical treatment of symptomatic carotid, coronary and mesenteric occlusive disease |
title_short | Combined surgical treatment of symptomatic carotid, coronary and mesenteric occlusive disease |
title_sort | combined surgical treatment of symptomatic carotid, coronary and mesenteric occlusive disease |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7015075/ https://www.ncbi.nlm.nih.gov/pubmed/32064075 http://dx.doi.org/10.1093/jscr/rjz392 |
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