Surgical Strategy in Patients with Associated Carotid and Coronary Artery Lesions: Staged or Combined Operations?

  • G. Marinelli
  • B. Turinetto
  • M. Cazzato
  • A. Pierangeli
Conference paper


It is well known that life expectancy in industrialized countries has increased tremendously. Whereas at the beginning of the nineteenth century in Italy overall life expectancy was almost 43 years, in 1990 it is 73 and 79 years for men and women, respectively. More surprisingly, the further life expectancy for 75 year olds is still very high, namely 9 and 12 further years for men and women respectively. Therefore, elderly patients are becoming more and more numerous, and medical and surgical approaches have totally changed.


Coronary Artery Bypass Graft Carotid Endarterectomy Coronary Artery Bypass Graft Patient Carotid Lesion Carotid Bruit 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Babu SC, Shaw PM, Singh BM et al. (1985) Coexisting carotid in patients undergoing cardiac surgery: indications and guidelines for simultaneous operations. Am J Surg 150: 207–211PubMedCrossRefGoogle Scholar
  2. 2.
    Breslau PJ, Fell G, Ivey TD et al. (1981) Carotid arterial disease in patients undergoing coronary artery bypass operations. J Thorac Cardiovasc Surg 82: 765–767PubMedGoogle Scholar
  3. 3.
    Ferlan G, De Pasquale C, Veneziani N et al. (1990) L’approccio chirurgico nelle lesioni combinate dell’asse carotideo e delle arterie. coronarie. Cuore 7: 173–179Google Scholar
  4. 4.
    Hertzer NR, Lees DC (1981) Fatal myocardial infarction following carotid endarterectomy. Ann Surg 194 (2): 212–218PubMedCentralPubMedCrossRefGoogle Scholar
  5. 5.
    Hertzer NR, Young JR, Beven EG et al. (1986) Late results of coronary bypass in patients with peripheral vascular disease. Cleve Clin Q 53: 133–143PubMedCrossRefGoogle Scholar
  6. 6.
    Ivey TD, Strandness ED, Williams DB et al. (1984) Management of patients with carotid bruit undergoing cardiopulmonary bypass. J Thorac Cardiovasc Surg 87: 183–189PubMedGoogle Scholar
  7. 7.
    Jones EL, Craver MJ, Michalik RA et al. (1984) Combined carotid and coronary operations: when are they necessary? J Thorac Cardiovasc Surg 87: 7–16PubMedGoogle Scholar
  8. 8.
    Kartchner MM, McRae LP (1982) Carotid occlusive disease as a risk factor in major cardiovascular surgery. Arch Surg 117: 1086–1088PubMedCrossRefGoogle Scholar
  9. 9.
    Lees DC, Hertzer NR (1981) Postoperative stroke and late neurologic complications after carotid endarterectomy. Arch Surg 116: 1561–1568PubMedCrossRefGoogle Scholar
  10. 10.
    Matar AF (1986) Concomitant coronary and cerebral revascularization under cardiopulmonary bypass. Ann Thorac Surg 41: 431–435PubMedCrossRefGoogle Scholar
  11. 11.
    Newman DC, Hicks RG, Horton DA (1987) Coexistent carotid and coronary arterial disease. J Cardiovasc Surg 28: 599–606Google Scholar
  12. 12.
    Ott DA, Cooley DA, Chapa L et al. (1980) Carotid endarterectomy without temporary intraluminal shunt. Ann Surg 191 (6): 708–714PubMedCentralPubMedCrossRefGoogle Scholar
  13. 13.
    Pierangeli A, Marinelli G, Turinetto B (1988) Indicazioni chirurgiche nei pazienti con lesioni aterosclerotiche associate carotidee e coronariche. In: Ischemia cerebrale e cardiopatie. Pinelli G, Di Pasquale G (eds). II Pensiero Scientifico, Rome pp 237–246Google Scholar
  14. 14.
    Rosenthal D, Caudill DR, Lamis PA et al. (1984) Carotid and coronary arterial disease. Am Surg 50: 233–235PubMedGoogle Scholar
  15. 15.
    Schwartz RL, Garrett JR, Karp RB et al. (1982) Simultaneous myocardial revascularization and carotid endarterectomy. Circulation 66 [Suppl 1]: 97–101Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1992

Authors and Affiliations

  • G. Marinelli
    • 1
  • B. Turinetto
    • 1
  • M. Cazzato
    • 1
  • A. Pierangeli
    • 1
  1. 1.Department of Cardiovascular SurgeryUniversity of BolognaBolognaItaly

Personalised recommendations