Original scientific paper

Combined Surgical Approach to Carotid and Coronary Artery Disease

Cristijan Bulat
Igor Alfirević
Zvonimir Ante Korda
Nenad Protrka
Mladen Novkoski
Mladen Predrijevac

Abstract

The aim of this study was to compare two different surgical approaches to patients with coexistent significant carotid
and coronary artery obstruction. Patients were treated with combined operation of carotid endarterectomy and coronary
artery bypass grafting (CEA/CABG). The first group of patients underwent the CABG procedure with the cardiopulmonary
bypass (CPB) on arrested heart and the second group without the CPB on a beating heart – off pump. Between
May 15 1998, and October 9 2003, thirty-five consecutive patients underwent the combined procedure. In both groups
there were no cases of transient or permanent perioperative neurological events. Overall, early mortality was 5.6%. The
incidence of a perioperative myocardial infarction was 5.5%. In the follow-up period there were no cases of late stroke.
According to the presented results in this study, it was found that the combined CEA and CABG is an equally safe and effective
procedure performed with or without cardiopulmonary bypass for patients with a severe coexistent carotid and
coronary artery disease.

Keywords

carotid artery obstruction; carotid endarterectomy; coronary artery obstruction; coronary artery bypass grafting; stroke

Hrčak ID:

23729

URI

https://hrcak.srce.hr/23729

Publication date:

8.5.2008.

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