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A.V. Lysenko

Pervyĭ MGMU im. I.M. Sechenova;
Moskovskiĭ NII pediatrii i detskoĭ khirurgii

G.I. Salagaev

Chair of Cardiovascular Surgery and Interventional Cardiology, I.M. Sechenov First Moscow State Medical University (head — MD R.N. Komarov), acad. B.V. Petrovsky Russian Research Center for Surgery (director — acad. of RAS Yu.V. Belov), Moscow, Russia

P.V. Lednev

Otdelenie kardiokhirurgii kliniki aortal'noĭ i serdechno-sosudistoĭ khirurgii Pervogo MGMU im. I.M. Sechenova

A.M. Khassanov

Petrovsky Russian Research Center for Surgery, Moscow, Russia

Yu.V. Belov

RNTsKh im. akad. B.V. Petrovskogo RAMN

Surgical treatment of a patient with bilateral lesion of the carotid arteries, multi-vessel coronary disease and severe mitral regurgitation (in Russian only)

Authors:

A.V. Lysenko, G.I. Salagaev, P.V. Lednev, A.M. Khassanov, Yu.V. Belov

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2019;12(4): 336‑339

DOI: 10.17116/kardio201912041336

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SURGICAL TREATMENT OF A PATIENT WITH BILATERAL LESION OF THE CAROTID ARTERIES, MULTI-VESSEL CORONARY DISEASE AND SEVERE MITRAL REGURGITATION (IN RUSSIAN ONLY)
SURGICAL TREATMENT OF A PATIENT WITH BILATERAL LESION OF THE CAROTID ARTERIES, MULTI-VESSEL CORONARY DISEASE AND SEVERE MITRAL REGURGITATION (IN RUSSIAN ONLY)

To cite this article:

Lysenko AV, Salagaev GI, Lednev PV, Khassanov AM, Belov YuV. Surgical treatment of a patient with bilateral lesion of the carotid arteries, multi-vessel coronary disease and severe mitral regurgitation (in Russian only). Russian Journal of Cardiology and Cardiovascular Surgery. 2019;12(4):336‑339. (In Russ., In Engl.)
https://doi.org/10.17116/kardio201912041336

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Abstract Concomitant carotid and coronary artery disease is common in clinical practice. Optimal surgical strategy is still unclear in these patients. Case report of a patient with occlusion of the internal carotid artery (ICA), critical stenosis of the contralateral ICA, two-vessel coronary lesion and severe mitral valve insufficiency is presented.

Keywords:

coronary artery disease
internal carotid artery
stenosis
combined pathology
coronary artery bypass surgery
carotid endarterectomy

Authors:

A.V. Lysenko

Pervyĭ MGMU im. I.M. Sechenova;
Moskovskiĭ NII pediatrii i detskoĭ khirurgii

G.I. Salagaev

Chair of Cardiovascular Surgery and Interventional Cardiology, I.M. Sechenov First Moscow State Medical University (head — MD R.N. Komarov), acad. B.V. Petrovsky Russian Research Center for Surgery (director — acad. of RAS Yu.V. Belov), Moscow, Russia

P.V. Lednev

Otdelenie kardiokhirurgii kliniki aortal'noĭ i serdechno-sosudistoĭ khirurgii Pervogo MGMU im. I.M. Sechenova

A.M. Khassanov

Petrovsky Russian Research Center for Surgery, Moscow, Russia

Yu.V. Belov

RNTsKh im. akad. B.V. Petrovskogo RAMN

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  2. Steinvil A, Sadeh B, Arbel Y, Justo D, Belei A, Borenstein N, et al. Prevalence and predictors of concomitant carotid and coronary artery atherosclerotic disease. J Am Coll Cardiol. 2011;57(7):779-783.
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  5. Kouchoukos NT, Daily BB, Wareing TH, Murphy SF. Hypothermic circulatory arrest for cerebral protection during combined carotid and cardiac surgery in patients with bilateral carotid artery disease. Ann Surg. 1994 Jun;219(6):699-705.
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  7. Johnsson P, Algotsson L, Ryding E, et al. Cardiopulmonary perfusion and cerebral blood flow in bilateral carotid artery disease. Ann Thorac Surg. 1991;51:579-584.
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  11. Erecinska M, Thoresen M, Silver IA: Effects of hypothermia on energy metabolism in mammalian central nervous system. J Cereb Blood Flow Metab. 2003;23:513-530. PMID: 12771566
  12. Yenari M, Kitagawa K, Lyden P, Perez-Pinzon M: Metabolic Downregulation: A Key to Successful Neuroprotection? Stroke. 2008;39(10):2910-2917. https://doi.org/10.1161/STROKEAHA.108.514471 PMID: 18658035
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  14. Urso S, Sadaba JR, Pettinari M. Impact of off-pump to on-pump conversion rate on post-operative results in patients undergoing off-pump coronary artery bypass. Interact Cardiovasc Thorac Surg. 2012 Feb;14(2):188-193. Epub 2011 Nov 28. https://doi.org/10.1093/icvts/ivr071 PubMed PMID: 22159253; PubMed Central PMCID: PMC3279983
  15. Belov YuV, Lysenko AV, Komarov RN, Stonogin AV. Off-pump coronary artery bypass grafting in patients with left main coronary artery stenosis and its equivalent. Kardiologiya i serdechno-sosudistaya khirurgiya. 2016;9(5):18-22. (In Russ.)

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