The Experience of Simultaneous Carotid Endarterectomy and Myocardial Revascularization

20 patients (16 men and 4 women) with coexisting carotid and coronary artery disease, mean age 67.38 ± 11 years. Neurologic presentations included asymptomatic carotid bruit (20%), history of TIA (55%), and previous stroke with recent TIA (25%). Preoperatively, 70% were in NYHA class III. Coronary arteriography showed double-vessel disease in 20% and triple-vessel disease in 80%.

Simultaneous unilateral carotid endarterectomy and myocardial revascularization (mean number of 3.5 distal anastomoses of coronary arteries)

Operative mortality rate (within thirty days after simultaneous operation)hard clinical