Simultaneous coronary and vascular surgery operations
Aim: The aim of this study is to present our result with simultaneous coronary artery revascularisation and vascular operations and to define the best method of treating those patients. Methods: During a period of four years (January 2000−January 2004) we have performed 53 simultaneous coronary artery revascularisation and vascular operations. Simultaneously with coronary artery revascularisation we have performed: in 44 patients carotid artery endarterectomy, in four patients reconstruction of abdominal aortic aneurysm, in one patient reconstruction of thoracic aortic aneurysm, in two patients aortobifemoral bypass and in two patients femoropopliteal bypass. Results: Mortality in this group of patients was 3.7% (two patients). In both cases coronary artery revascularisation and carotid endarterectomy was done. Cause of death was: in one patient sudden cardiac death and the other patient suffered perioperative myocardial infarction. There were no neurological complications. In the group of patients with coronary revascularisation and simultaneous reconstruction of abdominal aortic aneurysm or reconstruction of thoracic aortic aneurysm or aortobifemoral bypass or femoropopliteal bypass we had no cardiac or vascular related complications.
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