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Ann Thorac Surg 2006;82:1572
© 2006 The Society of Thoracic Surgeons

Correspondence

Reply

Richard P. Cambria, MD, Cary W. Akins, MD

Division of Vascular/Endovascular Surgery, Division of Cardiac Surgery, Massachusetts General Hospital, Cardiac Surgery—White 403 Boston, MA 02114

(Email: cakins@partners.org).

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

To the Editor:

We were pleased to read the comments of Dr Goksel [1] referring to our published article [2] on combined carotid and coronary surgery. Their strategy, which entails antecedent carotid endarterectomy using cervical regional plexus block prior to cardiac operation, is in fact one that we have applied selectively in accordance with the clinical urgency of the proposed cardiac surgery. From a practical standpoint, the majority of patients with severe combined disease are discovered to have asymptomatic, albeit anatomically severe, carotid stenosis in the clinical setting of often pressing or urgent indications for myocardial revascularization. In such . . . [Full Text of this Article]


Related Article

Combined Carotid and Coronary Surgery: Early and Late Results
Onur S. Goksel
Ann. Thorac. Surg. 2006 82: 1571-1572. [Extract] [Full Text] [PDF]





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