Synchronous off-pump coronary artery bypass grafting and carotid endarterectomy (an initial experience)

Özet

Aim: To find out safety and efficacy of synchronous CEA in patients undergoing CABG. Methods: Out of 711 patients who underwent CABG, 48 were found to have severe carotid stenosis of >70%. Out of this, 18 patients with >70% stenosis (thirteen symptomatic and five asymptomatic) and one patient with >70% symptomatic carotid stenosis (TIA within last 2 weeks) were taken for simultaneous CEA along with CABG. These three symptomatic carotid patients suffered from stroke within last 6 months. Results: None suffered from myocardial infarction (MI) during perioperative period.Postoperative recovery period - 13,5 ± 0,8 days. During the follow-up period of 12 months, one patient died of cardiovascular causes (stroke). Conclusion: Combined carotid and coronary arteries disease’s incidence in this series was 6,3%. Simultaneous carotid and off-pump coronary artery bypass surgery is safe and effective method of treatment patients with severe concomitant carotid artery stenosis and ischemic heart disease with relatively low mortality rate.