Carotid Angioplasty in a patient with Coronary Artery Bypass Surgery with Occluded Grafts, severe Aortic Stenosis, moderate Systolic Dysfunction and 100% contralateral Carotid occlusion: lessons to be learned

Carotid artery stenting (CAS) has emerged as an attractive alternative to carotid endarterectomy (CEA). However, CAS in a high risk patient carries significant morbidity/mortality. We report a successful CAS procedure in an extremely high risk case with a unique underlying comorbid combination not previously reported in the literature.