Carotid Angioplasty in a patient with Coronary Artery Bypass Surgery with Occluded Grafts, severe Aortic Stenosis, moderate Systolic Dysfunction and 100% contralateral Carotid occlusion: lessons to be learned

Carotid artery stenting (cas) has emerged as an attractive alternative to carotid endarterectomy (cea). however, cas in a high risk patient carries significant morbidity/mortality. we report a successful cas procedure in an extremely high risk case with a unique underlying comorbid combination not previously reported in the literature.