Fukuda I, Kigawa I, Kohno M, Shigeta O, Yamabuki K, Fujii Y
Department of Cardiovascular Surgery, Tsukuba Medical Center Hospital, Ibaraki, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1992 Mar;40(3):413-8.
Two cases of symptomatic extracranial carotid artery stenosis associated with ischemic heart disease are reported. The first case was 72-year-old male, who was admitted because of transient ischemic attack due to the stenosis of left internal carotid artery. He had a history of myocardial infarction and coronary angiography revealed three vessel disease. The second case was 74-year-old female with diabetes mellitus. She was admitted because of cerebral infarction. The carotid angiography revealed critical stenosis of bilateral internal carotid arteries. Her coronary angiography revealed three vessel disease. Her chest symptom became unstable after her admission. In both cases, simultaneous carotid endarterectomy and coronary bypass grafting were performed with successful outcome. In the patients with symptomatic extracranial carotid occlusive disease associated with severe ischemic heart diseases, we advocate simultaneous operation both for carotid and coronary artery occlusive disease.
报告了两例伴有缺血性心脏病的症状性颅外颈动脉狭窄病例。第一例是一名72岁男性，因左颈内动脉狭窄导致短暂性脑缺血发作而入院。他有心肌梗死病史，冠状动脉造影显示三支血管病变。第二例是一名74岁患有糖尿病的女性。她因脑梗死入院。颈动脉血管造影显示双侧颈内动脉严重狭窄。她的冠状动脉造影显示三支血管病变。入院后她的胸部症状变得不稳定。在这两例病例中，均同时进行了颈动脉内膜切除术和冠状动脉搭桥术，结果成功。对于伴有严重缺血性心脏病的症状性颅外颈动脉闭塞性疾病患者，我们主张同时对颈动脉和冠状动脉闭塞性疾病进行手术。
