AW: [HSF] a carotid and coronary case

[prasannasimha]

When  was in KEM we used to get a lot of Aortoarteritis cases and some 
had occlusion of 3 of four cerebral vessels occluded and ungraftable  
with the remaining one being stenotic and we used to do an aorto 
carotids for them with deep hypothermia as a cerebral protectant. I 
still vividly remember one extreme case - she was a girl who was brought 
to us who would get syncope and convulse if she was propped upright. She 
did well with this strategy. We did expose the opposite carotid (the 
occluded one) which was totally cord like. We had planned to first put 
it to the occluded artery first (to establish some antegrade flow) if we 
get some lumen before going on to the non occluded side.
Prasanna
prasannasimha wrote:
> Cool to 18 Deg with high perfusion pressures . During cooling / 
> rewarming CABG. During the arrest /Javid shunt period carotid 
> endartrectomy.
> Prasanna
> Dr. Roberto Battellini wrote:
>> How would the members operate a case with:
>>
>> Man 52 years old, had a stroke with hemiparesis after the right 
>> carotid was
>> occluded. Left carotid 95% stenosed. He needs 3 arterial grafts for 3 
>> vessel
>> disease. The right hemisphere is perfused from the left carotid.
>>
>> Roberto
>>
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