Hayashi I, Makuuchi H, Naruse Y, Kobayashi T, Yamamoto T, Hariya A, Maruno H, Murata H, Usui M
Division of Cardiovascular Surgery, Toranomon Hospital, Tokyo, Japan.
Kyobu Geka. 1996 May;49(5):380-3.
We reported a case of a 70-year-old female who underwent simultaneous carotid endarterectomy and coronary artery bypass surgery. Preoperatively, cardiac catheterization demonstrated three vessel coronary artery disease. Her carotid angiogram revealed a 90% stenosis in the left common carotid artery. The cerebral blood flow scintigram on acetazolamide stress detected severely reduced cerebral blood flow on her left anterior and temporal lobe. Her postoperative course was uneventful. Postoperatively, no reduced cerebral blood flow was detected on the acetazolamide stress image. In patients with significant carotid artery stenosis, the cerearal blood flow scintigraphy on acetazolamide stress was a useful method for the simultaneous carotid endarterectomy and coronary artery bypass surgery.
我们报告了一例70岁女性患者，该患者同时接受了颈动脉内膜切除术和冠状动脉搭桥手术。术前，心脏导管检查显示三支血管冠状动脉疾病。她的颈动脉血管造影显示左颈总动脉有90%的狭窄。乙酰唑胺负荷试验的脑血流闪烁图检测到她左前叶和颞叶的脑血流严重减少。她的术后过程平稳。术后，乙酰唑胺负荷图像上未检测到脑血流减少。对于有明显颈动脉狭窄的患者，乙酰唑胺负荷试验的脑血流闪烁扫描是同时进行颈动脉内膜切除术和冠状动脉搭桥手术的一种有用方法。
