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Simultaneous carotid endarterectomy, coronary artery bypass grafting and abdominal aortic aneurysm surgery

Abul Hasan Muhammad Bashar1, Teruhisa Kazui, Naoki Washiyama

  • 1First Department of Surgery, Hamamatsu University School of Medicine, Shizuoka, Japan.

Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
|December 11, 2002
PubMed

Insights

This case study details a simultaneous surgical approach for a rare disease triad involving the carotid artery, coronary arteries, and aorta. The procedure successfully addressed ulcerative lesions, coronary insufficiency, and an abdominal aortic aneurysm.

Area of Science:

  • Cardiovascular Surgery
  • Vascular Surgery
  • Interventional Cardiology

Background:

  • The simultaneous occurrence of left internal carotid artery (LICA) ulcerative lesions, severe coronary insufficiency, and infrarenal abdominal aortic aneurysm (AAA) presents a complex clinical challenge.
  • Optimal management strategies for patients with this specific disease triad require careful consideration of surgical risks and benefits.

Observation:

  • A single patient presented with the disease triad of LICA ulcerative lesion, severe coronary insufficiency, and infrarenal AAA.
  • The patient underwent a simultaneous surgical intervention comprising carotid endarterectomy (CEA), coronary artery bypass grafting (CABG), and Y-graft replacement of the AAA.

Findings:

  • The presented case demonstrates the feasibility of performing CEA, CABG, and AAA repair in a single operative session.
  • Detailed operative techniques for this complex, multi-vessel reconstruction are discussed.

Implications:

  • Simultaneous surgical intervention may be a viable option for select patients with this rare disease triad, potentially reducing overall treatment time and morbidity.
  • This approach highlights the importance of a multidisciplinary strategy in managing complex cardiovascular and cerebrovascular disease.

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