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Ann Thorac Surg 2004;78:470
© 2004 The Society of Thoracic Surgeons

Invited commentary

Norman Hertzer, MD

Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44195, USA

e-mail: hertzen@ccf.org

The first 20% of the full text of this article appears below.

From my standpoint as a vascular surgeon, there always have been two good reasons to correct severe coronary artery disease before proceeding with the surgical management of peripheral arterial disease (PAD). First, this approach presumably reduces the risk for early postoperative cardiac events or death that historically have been associated with major noncardiac vascular procedures, such as aortic reconstruction for aneurysms or lower extremity ischemia. Second, and sometimes overlooked, it also may enhance long-term survival in a patient population whose high cardiac mortality rate . . . [Full Text of this Article]






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