Carotid revascularization in patient with asymptomatic unilateral carotid stenosis undergoing coronary bypass - A futile effort!

Research output: Contribution to journalArticle

Abstract

The best management of asymptomatic carotid artery disease in patient who needs coronary bypass remains controversial. We report the neurological outcome of four patients with asymptomatic unilateral significant carotid artery disease who underwent conventional coronary bypass without carotid revascularization. Our review highlighted the risk of perioperative stroke is not increased despite carotid revascularization was not performed. Asymptomatic carotid artery disease is not the cause for cerebral infarct but soft aortic atheroma encountered during surgery is the main culprit.

Original languageEnglish
Pages (from-to)125-127
Number of pages3
JournalClinica Terapeutica
Volume163
Issue number2
Publication statusPublished - 2012

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Carotid Artery Diseases
Carotid Stenosis
Atherosclerotic Plaques
Stroke

Keywords

  • Cardiac surgery
  • Carotid occlusion
  • Carotid stenosis
  • Coronary bypass
  • Stroke

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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title = "Carotid revascularization in patient with asymptomatic unilateral carotid stenosis undergoing coronary bypass - A futile effort!",
abstract = "The best management of asymptomatic carotid artery disease in patient who needs coronary bypass remains controversial. We report the neurological outcome of four patients with asymptomatic unilateral significant carotid artery disease who underwent conventional coronary bypass without carotid revascularization. Our review highlighted the risk of perioperative stroke is not increased despite carotid revascularization was not performed. Asymptomatic carotid artery disease is not the cause for cerebral infarct but soft aortic atheroma encountered during surgery is the main culprit.",
keywords = "Cardiac surgery, Carotid occlusion, Carotid stenosis, Coronary bypass, Stroke",
author = "Chai, {F. Y.} and Ishamuddin, {I. M.} and Hairulfaizi Haron and {Su Min}, {Ooi Joanna} and {Abdul Rahman}, {Mohd Ramzisham}",
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language = "English",
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T1 - Carotid revascularization in patient with asymptomatic unilateral carotid stenosis undergoing coronary bypass - A futile effort!

AU - Chai, F. Y.

AU - Ishamuddin, I. M.

AU - Haron, Hairulfaizi

AU - Su Min, Ooi Joanna

AU - Abdul Rahman, Mohd Ramzisham

PY - 2012

Y1 - 2012

N2 - The best management of asymptomatic carotid artery disease in patient who needs coronary bypass remains controversial. We report the neurological outcome of four patients with asymptomatic unilateral significant carotid artery disease who underwent conventional coronary bypass without carotid revascularization. Our review highlighted the risk of perioperative stroke is not increased despite carotid revascularization was not performed. Asymptomatic carotid artery disease is not the cause for cerebral infarct but soft aortic atheroma encountered during surgery is the main culprit.

AB - The best management of asymptomatic carotid artery disease in patient who needs coronary bypass remains controversial. We report the neurological outcome of four patients with asymptomatic unilateral significant carotid artery disease who underwent conventional coronary bypass without carotid revascularization. Our review highlighted the risk of perioperative stroke is not increased despite carotid revascularization was not performed. Asymptomatic carotid artery disease is not the cause for cerebral infarct but soft aortic atheroma encountered during surgery is the main culprit.

KW - Cardiac surgery

KW - Carotid occlusion

KW - Carotid stenosis

KW - Coronary bypass

KW - Stroke

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