Cirurgia de revascularização do miocárdio associada a endarterectomia de carótida

Souza, Jean Marcos de; Berlinck, Marcos F; Oliveira, Paulo A. F; Ferreira, R; R, Mazzieri; Oliveira, Sérgio Almeida de

doi:10.1590/s0102-76381995000100006

Cited by 3 publications

(2 citation statements)

References 14 publications

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“…No perioperative AMI was found; two patients had TIA (6.6%) and two others died (6.6%) of stroke and low cardiac output. In the group of 46 patients operated by Souza et al 53 , between January 1979 and November 1994, neither stroke nor AMI was found, and the four deaths (8.6%) were due to: low cardiac output/respiratory failure (n = 1), rupture of the descending aorta (n = 1), death during lower extremity revascularization surgery (n = 1), and multiple organ failure.…”

Section: Resultsmentioning

confidence: 94%

Procedimento combinado entre operação de revascularização do miocárdio e endarterectomia de carótida: análise dos resultados

Lucas

Bonamigo

Weber

et al. 2005

Arq. Bras. Cardiol.

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Section: Resultsmentioning

confidence: 94%

Procedimento combinado entre operação de revascularização do miocárdio e endarterectomia de carótida: análise dos resultados

Lucas

Bonamigo

Weber

et al. 2005

Arq. Bras. Cardiol.

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“…Are risk factors for ischemic stroke age greater than 70 years, female gender, hypertension, diabetes mellitus, renal failure, smoking, chronic obstructive pulmonary disease (COPD), peripheral artery disease, ejection fraction of 40%, ischemic stroke history or previous transient ischemic attack, carotid stenosis, aortic calcification, surgery with CPB, prolonged cardiopulmonary bypass time, emergency surgery and others [ 3 - 5 , 8 , 10 , 11 ] .…”

Section: Introductionmentioning

confidence: 99%

Risk factors for perioperative ischemic stroke in cardiac surgery

Costa¹,

Gauer²,

Gomes³

et al. 2015

Revista Brasileira De Cirurgia Cardiovascular

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ObjectiveThe purpose of this study was to evaluate the risk factors for ischemic stroke in patients undergoing cardiac surgery.MethodsFrom January 2010 to December 2012, 519 consecutive patients undergoing cardiac surgery were analyzed prospectively. The sample was divided into two groups: patients with stroke per and postoperative were allocated in Group GS (n=22) and the other patients in the group CCONTROL (n=497). The following variables were compared between the groups: gender, age, carotid stenosis ≥ 70%, diabetes on insulin, chronic obstructive pulmonary disease, peripheral arteriopathy, unstable angina, kidney function, left ventricular function, acute myocardial infarction, pulmonary arterial hypertension, use of cardiopulmonary bypass. Ischemic stroke was defined as symptoms lasting over 24 hours associated with changes in brain computed tomography scan. The variables were compared using Fisher’s exact test, Chi square, Student’s t-test and logistic regression.ResultsStroke occurred in 4.2% of patients and the risk factors statistically significant were: carotid stenosis of 70% or more (P=0.03; OR 5.07; IC 95%: 1.35 to 19.02), diabetes on insulin (P=0.04; OR 2.61; IC 95%: 1.10 to 6.21) and peripheral arteriopathy (P=0.03; OR 2.61; 95% CI: 1.08 to 6.28).ConclusionRisk factors for ischemic stroke were carotid stenosis of 70% or more, diabetes on insulin and peripheral arteriopathy.

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Revascularização simultânea do miocárdio e dos troncos supra-aórticos

Cunha¹,

Santos²,

Atik³

et al. 2012

Rev Bras Cir Cardiovasc

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We report the case of a 58-year-old patient, with a three vessel disease with unstable angina. Due to refractory angina, she was referred to urgent coronary artery bypass graft (CABG). In the preoperative evaluation were found severe obstructive lesions in the brachiocephalic trunk origin, left common carotid origin and left internal carotid artery. The patient underwent CABG, supra-aortic trunks revascularization (extraanatomic bypass) and carotid endarterectomy in the same procedure. She presented an uneventful recovery and was discharged home on the seventh postoperative day. Currently, two years after the procedure, she continues under follow-up, symptomless. Descriptors:Angina

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Cirurgia de revascularização do miocárdio associada a endarterectomia de carótida

Cited by 3 publications

References 14 publications

Procedimento combinado entre operação de revascularização do miocárdio e endarterectomia de carótida: análise dos resultados

Procedimento combinado entre operação de revascularização do miocárdio e endarterectomia de carótida: análise dos resultados

Risk factors for perioperative ischemic stroke in cardiac surgery

Revascularização simultânea do miocárdio e dos troncos supra-aórticos

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