[A case report underwent simultaneous CEA and CABG followed by FPB]

A case of 67-year-old man with stenoses of both carotid arteries, double vessel diseases of coronary arteries, and left superficial femoral artery obstruction, for which surgical treatments were performed, is herein reported. He was in HYHA class IV because of unstable angina pectoris and pain in the left leg and in the state of chronic renal and hepatic disorders which made his condition worse. Coronary angiography showed stenoses in the origin of the right coronary artery and in the proximal left anterior descending artery at the degrees of about 95% and 90%, respectively. Carotid arteriography revealed both internalcarotid artery stenoses over 90%. The left carotid endarteractomy was not indicated because of presence of obstructive lesions of intracranial arteries in the left side. He underwent simultaneous surgery for the coronary and carotid occlusive diseases. He gained consciousness at the post operative 1st day and underwent left femoroperoneal saphenous vein bypass at the post operative 2nd day. He is leading a normal life without angina pectoris, left intermittent claudication and neurological deficit and has been followed up for 9 months postoperatively.