Figure - available from: Journal of Cardiothoracic Surgery
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a Preprocedural carotid angiography showing severe stenosis of the left common carotid artery. b Postprocedural carotid angiography showing improvement of the severe stenosis of the left common carotid artery. c Postprocedural arterial spin labeling of the magnetic resonance imaging showing improvement of the low perfusion areas in the left lobe

a Preprocedural carotid angiography showing severe stenosis of the left common carotid artery. b Postprocedural carotid angiography showing improvement of the severe stenosis of the left common carotid artery. c Postprocedural arterial spin labeling of the magnetic resonance imaging showing improvement of the low perfusion areas in the left lobe

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It is considered acceptable to conservatively manage coronary artery bypass grafting patients with carotid artery disease without the need for preoperative corrective carotid revascularization. However, in the present case, rapidly progressive stroke symptoms with penumbra suggested in the arterial spin labeling, carotid artery stenting was perform...