2019 Volume 59 Issue 10 Pages 95-99
We report a case of concomitant CEA and AVR. A 77-year-old man was hospitalized due to severe AS and severe right common carotid artery stenosis with mobile plaque. The mobile plaque was the risk factor of postoperative cerebral infarction in cardiac surgery. Therefore, we decided to perform concomitant carotid and valvular surgery. First, we exposed the carotid artery, and established CPB. The carotid artery was clamped when the core temperature was 30 degree. The CEA was performed under simple carotid arterial clamping. Then AVR was performed. Combined carotid and cardiac valve surgery is considered to be effective in such cases.