Although : Although the exact nature of your cardiac problem was not given, i suspect that you likely have coronary artery disease, or blockage of one or more of the arteries in the heart, perhaps associated with symptoms, such as chest pain or left arm pain, also known as angina. People who have coronary artery disease requiring coronary artery bypass graft (CABG) surgery often have narrowing of other arteries. If the carotid artery, the artery carrying blood to the brain, is narrow (called carotid stenosis), this may increase the risk of stroke during or after CABG surgery, occurring in up to 3% of patients. Surgery to remove the carotid narrowing (called carotid endarterctomy) might prevent these complications of CABG surgery, but also has risks. In randomized trials of patients with symptomatic carotid stenosis, the perioperative risk of stroke or death after carotid endarterectomy was approximately 6%, but this represents a substantial reduction in the risk of stroke (and thus greater benefit) compared to medical therapy alone. However the benefit gained from carotid endarterectomy in asymptomatic carotid stenosis is less and should probably best be done at institutions where their complication rate is less than 3%. Unfortunately, there continues to be ongoing debate as to whether to address the carotid stenosis prior to CABG surgery. Carotid endarterectomy performed to prevent stroke during CABG surgery has not yet been conclusively shown to be safer than the staged approach and thus this should be carefully discussed with a vascular surgeon and cardiac surgeon.
Answered 10/3/2016
5.4k views
A doctor has provided 1 answer
3 doctors weighed in across 2 answers
A doctor has provided 1 answer
90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more.
Ask your question