{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T04:21:59Z","timestamp":1763698919524,"version":"3.45.0"},"reference-count":20,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T00:00:00Z","timestamp":1750896000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Screening for carotid atherosclerosis is mandatory before coronary artery bypass graft (CABG). Incidental pathologies, such as carotid paraganglioma, may be discovered rarely, complicating management. A 53\u2010year\u2010old woman with three\u2010vessel coronary artery disease and exertional chest pain underwent routine carotid ultrasound, revealing \u201c&gt;\u200990% stenosis of the left external carotid artery and a 1.8\u2009\u00d7\u20091.2\u2009\u00d7\u20091.0\u2009cm mass at the carotid bifurcation, classified as Shamblin II.\u201d She reported a painless, pulsatile left\u2010neck mass but no cranial nerve deficits. Preoperative coil embolization was not performed due to manageable intraoperative control of the vascular supply. The patient successfully underwent simultaneous CABG, carotid endarterectomy, and tumor excision; histopathology confirmed paraganglioma. Patients with multivessel coronary disease often harbor severe carotid atherosclerosis, warranting concomitant endarterectomy at the time of CABG. Pre\u2010operative imaging may unmask incidental carotid body tumors (e.g., a 1.8\u2009\u00d7\u20091.2\u2009\u00d7\u20091.0\u2009cm Shamblin II paraganglioma), which require surgical excision and histopathologic assessment to guide optimal multidisciplinary care.<\/jats:p>","DOI":"10.1002\/ccr3.70586","type":"journal-article","created":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T23:49:08Z","timestamp":1750981748000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Successful Surgical Management of a Coincidence of Three\u2010Vessel Coronary Artery Disease, Severe Carotid Atherosclerosis, and Carotid Paraganglioma: A Case Report and Literature Review"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-3694-6863","authenticated-orcid":false,"given":"Pouya","family":"Ebrahimi","sequence":"first","affiliation":[{"name":"Tehran Heart Center, Cardiovascular Disease Research 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Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1675-7195","authenticated-orcid":false,"given":"Sepide","family":"Javankiani","sequence":"additional","affiliation":[{"name":"Department of General Surgery Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedram","family":"Ramezani","sequence":"additional","affiliation":[{"name":"Non\u2010Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad Hossein","family":"Mandegar","sequence":"additional","affiliation":[{"name":"Tehran University of Medical Sciences Department of Cardiovascular Surgery  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sagar N.","family":"Doshi","sequence":"additional","affiliation":[{"name":"Department of 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