{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T10:15:01Z","timestamp":1766398501968,"version":"3.48.0"},"reference-count":0,"publisher":"IMR Press","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HSF"],"abstract":"<jats:p>&lt;P&gt;Background: Atherosclerotic involvement of the proximal aorta is a major cause of embolic operative stroke in cardiac surgery. Its incidence is less well known in patients with severe carotid disease. &lt;\/P&gt;&lt;P&gt;Methods: We reviewed the incidence of proximal atherosclerotic aortic disease in patients with internal carotid occlusion (group 1) and then compared it to a group of patients with normal carotids undergoing cardiac surgery (group 2). Both groups had preoperative carotid Doppler and epiaortic ultrasound analysis at the time of surgery. &lt;\/P&gt;&lt;P&gt;Results: Epiaortic ultrasound results showed that the degree of atherosclerosis in group 1 was normal in 9 patients (10.2%), mild in 34 (38.6%), moderate in 29 (33%), and severe in 16 (18.2%). In group 2, the degree of atherosclerosis was normal in 70 patients (9.3%), mild in 466 (61.8%), moderate in 150 (19.9%), and severe in 68 (9.0%). Stroke rate was higher in group 1 at 4.5% versus 1.1% for group 2 (P = .029). No difference in surgical mortality was found. &lt;\/P&gt;&lt;P&gt;Conclusions: Patients with internal carotid occlusions undergoing heart surgery have a higher incidence of proximal aortic atherosclerotic disease. Epiaortic ultrasound examination is strongly recommended.&lt;\/P&gt;<\/jats:p>","DOI":"10.1532\/hsf.604","type":"journal-article","created":{"date-parts":[[2015,3,29]],"date-time":"2015-03-29T03:12:15Z","timestamp":1427598735000},"page":"55","source":"Crossref","is-referenced-by-count":0,"title":["Increased Incidence of Proximal Aortic Atherosclerotic Disease in Patients with Internal Carotid Occlusion"],"prefix":"10.31083","volume":"6","author":[{"given":"David C.","family":"Charlesworth","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher T.","family":"Maloney","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"16242","published-online":{"date-parts":[[2005,2,2]]},"container-title":["The Heart Surgery Forum"],"original-title":[],"link":[{"URL":"http:\/\/journal.hsforum.com\/index.php\/HSF\/article\/viewFile\/604\/608","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T10:13:24Z","timestamp":1766398404000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.imrpress.com\/journal\/HSF\/6\/1\/10.1532\/hsf.604"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,2,2]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2003,2,1]]}},"URL":"https:\/\/doi.org\/10.1532\/hsf.604","relation":{},"ISSN":["1522-6662","1098-3511"],"issn-type":[{"type":"electronic","value":"1522-6662"},{"type":"print","value":"1098-3511"}],"subject":[],"published":{"date-parts":[[2005,2,2]]}}}