Both Carotid Endarterectomy in Obstrution of Carotid Arteries and Bypass Graft with Kidney Preservation in Obstrution of Abdominal Aorta: A Report of Case.
- Author:
Byoung Chul KIM
1
;
Seung Hwan PYUN
;
Jung Wook SEO
;
Joo Yeon KIM
;
Pill Jo CHOI
;
Jong Su LEE
;
Si Chan SUNG
;
Jong Soo WOO
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Pusan City Medical Center, Korea.
- Publication Type:Case Report
- Keywords:
Carotid artery stenosis;
Organ preservation
- MeSH:
Aorta;
Aorta, Abdominal*;
Carotid Arteries*;
Carotid Artery, Internal;
Carotid Stenosis;
Celiac Artery;
Constriction, Pathologic;
Endarterectomy, Carotid*;
Fingers;
Hand Strength;
Humans;
Ischemia;
Kidney*;
Lower Extremity;
Male;
Middle Aged;
Neurology;
Organ Preservation;
Renal Artery;
Sensation;
Transplants*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1997;30(6):625-630
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 56 years old male patient admitted to our neurology department because of repeated tingling sensation in right 3, 4, 5th. fingers and weakness on grasping, which were progressively developed recently. At this time, he had also suffered from claudication in both lower extremities. Carotid angiogram showed that right internal carotid artery was obstructed completely, and both common, both external and left internal carotid arteries had significant stenosis, Concommitantly, aortogram suggested complete obstruction just below the renal arteries. We planned staged operation for two separated arterial lesions. Both carotid endarterectomy was performed. and we used carotid shunt for left side during operation. Abdominal aortic lesion was operated 2 weeks later. We obligately clamped aorta just below the celiac artery and infused kidney perservation solution to pertect kidney during ischemia. Reversed Y bypass graft and kidney perservation was successful despite of 40 minute ischemia. Postoperative coure was uneventful and patient was discharged without any specific problem.
