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Department of Anesthesiology and Critical Care, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran
Abstract: (19 Views)
Background
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.
Case report
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.
Conclusion
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 and PH stat.
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.
Case report
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.
Conclusion
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 and PH stat.
Type of Study: Case Report |
Subject:
Heart Surgery
Received: 2026/03/8 | Accepted: 2026/06/15 | ePublished ahead of print: 2026/07/11
Received: 2026/03/8 | Accepted: 2026/06/15 | ePublished ahead of print: 2026/07/11
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