Alur, İhsan Pamukkale Üniversitesi - Tıp Fakültesi - Kalp ve Damar Cerrahisi AD, Turkey , Alşalaldeh, Mohammad Pamukkale Üniversitesi - Tıp Fakültesi - Kalp ve Damar Cerrahisi AD, Turkey , Durna, Fırat Pamukkale Üniversitesi - Tıp Fakültesi - Kalp ve Damar Cerrahisi AD, Turkey , Emrecan, Bilgin Pamukkale Üniversitesi - Tıp Fakültesi - Kalp ve Damar Cerrahisi AD, Turkey

Can systemic hypothermia induced during cardiopulmonary bypass protect the brain of patients undergoing carotid endarterectomy?

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In the cases of coronary artery disease (CAD) concomitant with carotid artery stenosis (CAS), what to manage first is still a controversial subject. Patients with CAS who will undergo coronary artery bypass grafting are considered to be under a high risk of cerebrovascular accidents. On the other hand, patients with CAD who will undergo surgery for CAS are under a high risk of having myocardial infarction during the procedure especially when they have serious coronary artery lesions. That is why it is better to treat both diseases in the same surgery. In such surgeries the cornerstone is to find the best strategy that can reduce both morbidity and mortality. Carotid endareterctomy (CEA) and coronary artery bypass grafting (CABG) were performed in the same session on 3 cases of CAD and CAS who were operated under systemic hypothermia and cardiopulmonary bypass. There were no neurological complications.

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Carotid endarterectomy , coronary bypass , cardiopulmonary bypass , systemic hypothermia.

Pamukkale Medical Journal

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