[Surgical techniques in combined operations on the coronary and brachiocephalic arteries]

The author possesses some experience in surgical treatment of 34 patients with coexistent lesions of the coronary and brachiocephalic arteries. He discusses the results of one-stage operations in 11 patients with a severe clinical picture of ischemia of the heart and brain. The surgical techniques of one-stage operations is described in detail and clinical cases are reviewed. The flow of blood in the ++brachiocephalic arteries was restored before beginning extracorporeal circulation in all cases. One patient died on the 3rd postoperative day.