A coronary artery bypass grafting using cardiopulmonary bypass with intraaortic balloon pumping in patient with low cardiac function combined with cerebral vascular disease

We reported a 55-year-old man, who had coronary and cerebral vascular disease. Cerebral angiography showed occlusion at left internal carotid artery (ICA) and 50% stenosis at right ICA C4 portion. But acetazolamide reactivity was kept symmetrically. Coronary angiography showed severe three vessel di...

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Bibliographic Details
Published in:	Kyobu geka. The Japanese journal of thoracic surgery Vol. 54; no. 9; p. 780
Main Authors:	Nishida, M, Gohra, H, Hirata, K, Ikeda, N, Mikamo, A, Okada, H, Hamano, K, Zempo, N, Esato, K
Format:	Journal Article
Language:	Japanese
Published:	Japan 01-08-2001
Subjects:	Cardiac Output, Low - surgery Cardiopulmonary Bypass Cerebrovascular Disorders - etiology Cerebrovascular Disorders - prevention & control Coronary Artery Bypass - methods Humans Intra-Aortic Balloon Pumping Male Middle Aged
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Summary:	We reported a 55-year-old man, who had coronary and cerebral vascular disease. Cerebral angiography showed occlusion at left internal carotid artery (ICA) and 50% stenosis at right ICA C4 portion. But acetazolamide reactivity was kept symmetrically. Coronary angiography showed severe three vessel disease, and left ventriculography showed diffuse severe hypokinesis/akinesis, and EF was below 30%. The patient underwent coronary artery bypass grafting using cardiopulmonary bypass with intraaortic balloon pumping to keep intraoperative blood pressure high. After the operation he recovered uneventfully without neurological complication.
ISSN:	0021-5252