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["Off pump" coronary surgery and simultaneous carotid endarterectomy]
Javier Gallego1, A Nobre, R A Pereira
1Serviço de Cirurgia Cardiotorácica e Clínica Universitária de Cirurgia Vascular, Hospital Santa Maria.
Summary
Simultaneous carotid endarterectomy and coronary artery bypass grafting (CABG) off-pump is a safe and effective surgical approach. This combined procedure for patients with significant carotid artery disease showed satisfactory outcomes with no hospital mortality.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Anesthesiology
Context:
- Significant carotid artery disease poses a surgical management dilemma in patients undergoing coronary artery bypass grafting (CABG).
- The optimal approach requires careful consideration of risks and benefits for combined procedures.
Purpose:
- To review the efficacy of simultaneous carotid endarterectomy and off-pump CABG.
- To evaluate the safety and outcomes of this combined surgical strategy.
Summary:
- A review of six patients treated between January 2001 and December 2002 who underwent simultaneous carotid endarterectomy and off-pump CABG.
- The combined procedure was performed with a satisfactory outcome and no hospital mortality.
Impact:
- Demonstrates the feasibility and safety of performing carotid endarterectomy concurrently with off-pump CABG.
- Offers a viable surgical option for patients with comorbid carotid artery disease and coronary artery disease, potentially improving patient selection and outcomes.