Abstract
Background: The management of patients with simultaneous coronary artery and carotid artery disease is still controversial. Methods: A retrospective review of the records and follow-up data of 139 consecutive patients undergoing simultaneous coronary artery bypass graft and carotid endarterectomy from 1981 to 1999 was carried out. Results: Early mortality was 2.1%, perioperative myocardial infarction and stroke rates were 2.8 and 1.4%, respectively. Survival at 7 years was 74.7±5.1% and event-free survival at 7 years was 67.9±5.6%. Conclusions: The combined surgical approach has proved to be effective and safe allowing the treatment of both diseases in a single operative procedure.
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