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Hiroshi Nishida
Ronald K. Grooters
Hooshang Soltanzadeh
Kent C. Thieman
Robert F. Schneider
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Ann Thorac Surg 1989;48:865-866
© 1989 The Society of Thoracic Surgeons

Articles

Carotid and aortic arch endarterectomy using hypothermic arrest with coronary bypass

Hiroshi Nishida, MD*, Ronald K. Grooters, MD, Anson A. Yeager, MD, Hooshang Soltanzadeh, MD, Kent C. Thieman, MD, Robert F. Schneider, MD

Department of Surgery, Iowa Methodist Medical Center, Des Moines, Iowa, USA

Accepted for publication June 8, 1989.

* Address reprint requests to Dr Nishida, Mid-Iowa Heart Institute, 1215 Pleasant, Suite 308, Des Moines, IA 50309.

A 67-year-old man with symptomatic bilateral carotid artery obstructions and a large, friable atheromatous plaque of the transverse aortic arch required coronary artery bypass grafting for severe triple-vessel dissease. An endarterectomy of the transverse arch and a left carotid endarterectomy were performed using deep hypothermic circulatory arrest concomitant with quadruple coronary artery bypass grafting. Recovery was uneventful. Hypothermic circulatory arrest provides adequate protection for this combined procedure and may eliminate cerebral embolization.






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Copyright © 1989 by The Society of Thoracic Surgeons.