en جراحی قلب Heart Surgery گزارش مورد Case Report <span style="font-size:12pt"><span style="line-height:200%"><span style="font-family:Calibri,sans-serif"><b><span new="" roman="" style="font-family:" times="">Background</span></b></span></span></span><br> <span style="font-size:12pt"><span style="line-height:200%"><span style="font-family:Calibri,sans-serif"><span new="" roman="" style="font-family:" times="">Carotid stenosis is one of the risk factors associated with increased complications and comorbidities associated with open heart surgery. Depending on the severity of the stenosis, this disease can aggravate stroke and other complications of surgery. </span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:200%"><span style="font-family:Calibri,sans-serif"><b><span new="" roman="" style="font-family:" times="">Case report</span></b></span></span></span><br> <span style="font-size:12pt"><span style="line-height:200%"><span style="font-family:Calibri,sans-serif"><span new="" roman="" style="font-family:" times="">Case Report The patient we reported was a 69-year-old man who was a candidate for coronary artery bypass surgery with complete stenosis of the internal carotid artery and a history of myocardial infarction. The patient underwent open heart surgery due to occlusion of the three main vessels as an on-pump. Hybrid strategies such as alpha statin and ph statin were considered for him at specific times. The patient was transferred to the ward and discharged without any exacerbation of cerebral complications. </span></span></span></span><br> <span style="font-size:12pt"><span style="line-height:200%"><span style="font-family:Calibri,sans-serif"><b><span new="" roman="" style="font-family:" times="">Conclusion</span></b></span></span></span><br> <span style="font-size:12pt"><span style="line-height:200%"><span style="font-family:Calibri,sans-serif"><span new="" roman="" style="font-family:" times="">&nbsp;Although carotid artery stenosis is associated with a high risk of cerebral complications after open heart surgery, the exacerbation of cerebral complications during and after surgery can be reduced by combining the two strategies of Alpha &nbsp;and PH stat.</span></span></span></span><br> &nbsp; Cardiopulmonary Bypass, Internal Carotid Artery Stenosis, Stroke 0 0 http://jsurgery.bums.ac.ir/browse.php?a_code=A-10-168-15&slc_lang=en&sid=1 Ali Taherinezhad Ledari https://orcid.org/0000-0001-6207-6017 No Student Research Committee, Babol University of Medical Sciences, Babol, Iran. Medical Sciences Ahmad Amouzeshi amouzeshiahmad@gmail.com https://orcid.org/0000-0002-6271-3060 No Department of Cardiology, School of Medicine, Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran. Seyyed Ebrahim Hosseini Zargaz ebrahimhosseini134zargaz@gmail.com https://orcid.org/0009-0006-9048-3158 No Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran. Mahmoud Ganjifard* fardganj@gmail.com https://orcid.org/0000-0002-8778-5394 Yes Department of Anesthesiology and Critical Care, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran