Controversy exists concerning the best management of patients with coronary artery and carotid artery disease. Between June 1994 and July 2000, 88 patients with coronary artery and carotid artery disease underwent combined coronary artery surgery and carotid endarterectomy. Demographics and perioperative variables of these patients were compared with those of 266 patients undergoing isolated co...

BACKGROUND In this study, we aimed to review the consequences of coronary endarterectomy with coronary artery bypass grafting, and assess outcomes of this combined surgical technique for patients with diffuse coronary artery disease in a single surgeon's practice. METHODS We retrospectively reviewed outcome of 1198 endarterectomized coronary artery in 1000 patients with diffuse coronary arter...

OBJECTIVE To assess the early results of combined coronary artery bypass graft surgery and carotid endarterectomy. DESIGN Retrospective and ongoing analysis of patients who underwent combined coronary artery bypass graft surgery and carotid endarterectomy. SETTING Cardiothoracic unit in a London teaching hospital. PATIENTS From June 1987 to March 1995, 64 patients were identified. They we...

Editorial The case for concomitant carotid and coronary artery surgery There is continuing controversy about the best management for patients with severe coronary artery disease who also have important carotid disease. Approaches vary from totally ignoring carotid stenoses at the time of myocardial revascularisation, to performing staged operations, or combining the two operations during one an...

Recently, the use of percutaneous coronary intervention (PCI) for treatment of coronary artery disease has progressively increased. A large number of simple stenoses in one or two coronary vessels can be treated by PCI. Therefore, the number of high-risk and severely diseased patients referred for coronary artery bypass grafting (CABG) has been relatively increasing. Coronary endarterectomy has...

BACKGROUND Coronary endarterectomy (CE) may be a good option for complete revascularization of diffuse coronary artery diseases, but it has not been widely used because the outcomes have not been definitively identified. This study aims to evaluate the mid-term clinical results of CE and compare the outcomes according to the use of cardiopulmonary bypass (CPB) and the surgical technique used. ...

In coronary artery bypass grafting, a diffusely diseased left anterior descending coronary artery (LAD) is an obstacle to achieving complete revascularization, consequently leading to the possibility of a poor prognosis. Long segmental reconstruction with or without endarterectomy is a revascularization method for treating diffusely diseased coronary arteries. Herein, we report a successful cas...

Background: Performance of CABG with concomitant coronary artery endarterectomy in patients severe disease provides more complete revascularization. We examined the technique and early outcomes (CE). Subjects method: 24 (20 males, 4 females) undergoing operations endarterectomy. They were a selected cohort minimum three grafts for main vesseles. All operated on by same group surgeon. Results: M...