HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Adel F. Matar Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Matar, A. F. Search for Related Content PubMed PubMed Citation Articles by Matar, A. F.

Ann Thorac Surg 1986;41:431-435
© 1986 The Society of Thoracic Surgeons

---

Articles

Concomitant Coronary and Cerebral Revascularization under Cardiopulmonary Bypass

Oregon Health Sciences University and Emanuel Hospital and Medical Center, Portland, OR

Accepted for publication July 16, 1985.

^* Address reprint requests to Dr. Matar, Medical Education Office, Emanuel Hospital & Medical Center, 2801 N. Gantenbein Ave, Portland, OR 97227

The question as to whether a staged or a combined surgical approach is safer in the management of patients with coexistent coronary and extracranial cerebrovascular disease has been widely investigated and debated. Advances in myocardial protection techniques have reduced cardiac morbidity and mortality and have rendered a combined approach as safe as a staged approach, if not safer. There have been no similar advances in cerebral protection, particularly for high-risk patients with bilateral disease. In this series, 32 consecutive patients with coexistent advanced coronary and extracranial vascular disease underwent cerebral and coronary revascularization that used the combined approach. Cerebral revascularization was performed under hypothermic cardiopulmonary bypass on 30 of these patients. There was no operative mortality, no hematoma formation, and no reoperation. Blood loss, length of hospital stay, and total cost were similar to those for isolated coronary bypass procedures.

This article has been cited by other articles:

				C. W. Akins Commentary J. Thorac. Cardiovasc. Surg., April 1, 2000; 119(4): 772 - 773. [Full Text]

				H. L. Lazar and J. O. Menzoian Coronary artery bypass grafting in patients with cerebrovascular disease Ann. Thorac. Surg., September 1, 1998; 66(3): 968 - 974. [Abstract] [Full Text] [PDF]

				P. O. Daily, R. K. Freeman, W. P. Dembitsky, R. M. Adamson, R. J. Moreno-Cabral, S. Marcus, and J. A. Lamphere COST REDUCTION BY COMBINED CAROTID ENDARTERECTOMY AND CORONARY ARTERY BYPASS GRAFTING J. Thorac. Cardiovasc. Surg., June 1, 1996; 111(6): 1185 - 1193. [Abstract] [Full Text]

				W. S. Moore, H.J.M. Barnett, H. G. Beebe, E. F. Bernstein, B. J. Brener, T. Brott, L. R. Caplan, A. Day, J. Goldstone, R. W. Hobson II, et al. Guidelines for Carotid Endarterectomy : A Multidisciplinary Consensus Statement From the Ad Hoc Committee, American Heart Association Circulation, January 15, 1995; 91(2): 566 - 579. [Abstract] [Full Text]

				W. S. Moore, H.J.M. Barnett, H. G. Beebe, E. F. Bernstein, B. J. Brener, T. Brott, L. R. Caplan, A. Day, J. Goldstone, R. W. Hobson II, et al. Guidelines for Carotid Endarterectomy : A Multidisciplinary Consensus Statement From the Ad Hoc Committee, American Heart Association Stroke, January 1, 1995; 26(1): 188 - 201. [Abstract] [Full Text]

				S. J. Weiss, F. P. Sutter, T. O. Shannon, and S. M. Goldman Combined cardiac operation and carotid endarterectomy during aortic cross-clamping Ann. Thorac. Surg., May 1, 1992; 53(5): 813 - 816. [Abstract] [PDF]

				D. C. Newman and R. G. Hicks Combined Carotid and Coronary Artery Surgery: A Review of the Literature Ann. Thorac. Surg., May 1, 1988; 45(5): 574 - 581. [Abstract] [PDF]