Click on image to view larger version.
Fig 1. A 66-year-old man with hypertension and a history of smoking presented with chest pain and vertigo and was found to have multiple stenoses (ipsilateral remote tandem lesions) before coronary artery bypass surgery. A–B, The severe stenosis in the right carotid bulb with undermining ulceration (arrow), was revascularized first (anteroposterior view). C–D, Concomitant severe (more than 70%) stenosis (arrow in C) of the right cavernous segment was also revascularized during the same session. Note antegrade filling of the ophthalmic artery (open arrow in D). The patient underwent coronary artery bypass surgery and had no neurologic symptoms during the 6-month follow-up period.
