Related Experiment Videos
Percutaneous vertebral angioplasty before coronary artery bypass grafting
1Department of Cardiovascular Surgery, Tsukuba Medical Center Hospital, Japan. i-fukuda@ga2.so-net.ne.jp
Insights
A 63-year-old male with coronary heart disease and vertebral artery stenosis underwent successful triple coronary bypass grafting. Precedent angioplasty of the vertebral artery proved safe, preventing brain ischemia during surgery.
Area of Science:
- Cardiology
- Neurology
- Vascular Surgery
Background:
- Coronary heart disease (CHD) is a leading cause of mortality.
- Vertebral artery stenosis can complicate cardiac procedures.
- Extracorporeal circulation during cardiac surgery poses risks of cerebral ischemia.
Observation:
- A 63-year-old male presented with three-vessel coronary heart disease.
- The patient also had stenosis in both vertebral arteries.
- This case highlights the intersection of complex cardiac and cerebrovascular disease.
Findings:
- Percutaneous balloon angioplasty of the left vertebral artery was performed.
- Triple coronary artery bypass grafting using arterial conduits was successfully completed.
- The precedent vertebral artery angioplasty was safe and well-tolerated.
Implications:
- Precedent vertebral artery angioplasty is a safe and effective strategy.
- This approach protects the brain from potential ischemia during cardiac surgery.
- It offers a viable solution for patients with combined coronary and vertebral artery disease.
Abstract:
We report a case of a 63-year-old male with three-vessel coronary heart disease complicated by stenosis of the bilateral vertebral arteries. Triple coronary bypass grafting, using arterial conduits, was successfully performed after percutaneous balloon angioplasty of the left vertebral artery. Precedent angioplasty of a stenotic vertebral artery is safe and protects the brain from ischemia during extracorporeal circulation.