Korean J Thorac Cardiovasc Surg.  1997 Jun;30(6):625-630.

Both Carotid Endarterectomy in Obstrution of Carotid Arteries and Bypass Graft with Kidney Preservation in Obstrution of Abdominal Aorta: A Report of Case

• Kim BC
• Pyun SH
• Seo JW
• Kim JY
• Choi PJ
• Lee JS
• Sung SC
• Woo JS

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.

Keyword

Carotid artery stenosis; Organ preservation

MeSH Terms

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*