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A Magnetic Resonance Imaging-based Computational Protocol for Analysis of Plaque Morphology and Hemodynamics in Patients with Carotid Artery Stenosis
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Published on: August 12, 2025

Management of concomitant coronary and bilateral carotid artery disease: a case report

Ilker Kiriş1, Senol Gülmen, Saim Yilmaz

  • 1Department of Cardiovascular Surgery, Süleyman Demirel University Medical School, Isparta, Turkey. kirisilker@yahoo.com

Journal of Cardiac Surgery
|March 7, 2007
PubMed

Insights

This study presents a staged treatment for severe coronary artery and bilateral carotid artery disease. The approach, involving carotid stenting, coronary bypass grafting, and carotid endarterectomy, proved safe and effective for this high-risk patient.

Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Patients with severe coronary artery and carotid artery stenosis face high surgical risks.
  • Managing concomitant disease requires careful consideration of treatment sequencing.

Observation:

  • A patient with severe coronary artery and bilateral carotid artery disease underwent a staged surgical procedure.
  • The intervention included left carotid artery stenting, coronary artery bypass grafting, and right carotid endarterectomy.

Findings:

  • The staged treatment approach was successfully completed without neurological complications.
  • The patient experienced a satisfactory recovery and remains in good health.

Implications:

  • This staged treatment strategy may be a safe and feasible alternative for patients with combined severe coronary and bilateral carotid artery disease.
  • It offers a potential option compared to combined procedures.

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