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Ann Thorac Surg 1998;66:968-974
© 1998 The Society of Thoracic Surgeons
a Department of Cardiothoracic Surgery and Section of Vascular Surgery, Boston University School of Medicine and Boston Medical Center, Boston, Massachusetts, USA
Address reprint requests to Dr Lazar, Department of Cardiothoracic Surgery, Boston Medical Center, B402, 88 E Newton St, Boston, MA 02118
The incidence of carotid artery disease in patients undergoing coronary artery bypass grafting appears to be increasing as our population ages. The optimal treatment for these high-risk patients with concomitant carotid and coronary artery disease remains controversial. This review focuses on the management of patients with coexistent carotid and coronary arteriosclerosis. The significance and management of the patient with an asymptomatic carotid stenosis in patients undergoing coronary artery bypass grafting and the role of combined coronary artery bypass grafting and carotid endarterectomy in these patients will be discussed.
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