Successful Concomitant Revascularization in a Patient with Carotid, Coronary, and Intestinal Artery Occlusive Disease
Ali Ihsan Parlar1, Seyhan Babaroglu2, Muhammet Onur Hanedan1
1Cardiovascular Surgery Clinic, Ahi Evren Thorax Cardiovascular Surgery Education and Research Hospital, Trabzon. aliparlar20@yahoo.com.
Insights
Concurrent mesenteric, carotid, and coronary artery disease management is challenging. A single-stage surgical intervention for multisystem revascularization proved effective in a patient with these complex conditions, showing promising results.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Interventional Cardiology
Background:
- Coexistent coronary artery disease is common in patients with chronic mesenteric ischemia and carotid stenosis.
- Myocardial ischemia poses a significant risk for morbidity and mortality post-peripheral artery revascularization.
- Optimal treatment strategies for combined mesenteric, carotid, and coronary disease remain undefined.
Background:
Chronic mesenteric ischemia and carotid stenosis frequently have coexistent coronary artery disease. Myocardial ischemia is the most common cause of morbidity and mortality following revascularization of the peripheral arteries. The optimal treatment of concurrent mesenteric, carotid, and coronary disease is unknown.
Case Report:
We report a case of a 75-year-old man who required revascularization of the left anterior descending coronary and superior mesenteric arteries and carotid endarterectomy. After concomitant surgical revascularization, the patient remained asymptomatic during the 3-year follow-up.
Conclusion:
A good result in this case encourages us for one-stage combined surgical intervention in patients who require multisystem revascularization.
