[Is a simultaneous correction of coronary, carotid and major peripheral arterial lesions indicated?].
The contemporaneous surgical treatment of coronary and vascular disease is still controversial. In the attempt to bring our contribution at this chapter, we present a case series of 69 patients, among 2149 operated on myocardial revascularization between January 1982 and December 1990, submitted simultaneously to aortocoronary bypass and vascular procedures, i.e. carotid endarterectomy or limbs' revascularization. The immediate and late results achieved through the combined surgical approach have shown a mortality slightly greater than the staged procedure. However, the absence of neurological or abdominal complication and the improvement in term of survival and life's quality encourage us to continue with this surgical strategy, whenever the clinical status of the patients and the pathological aspect of the lesions permit it.
Beghi
C
C
Cattedra di Chirurgia del Cuore e Grossi Vasi, Università degli Studi di Parma.
Spaggiari
I
I
Saccani
S
S
Fesani
M G
MG
Fesani
F
F
D000368:Aged; D002339:Carotid Arteries / Q000601:surgery*; D001026:Coronary Artery Bypass; D004691:Endarterectomy; D005069:Evaluation Studies as Topic; D005121:Extremities / Q000098:blood supply*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009204:Myocardial Revascularization; D011183:Postoperative Complications; D011788:Quality of Life; D013997:Time Factors; D014656:Vascular Surgical Procedures
E indicata la correzione contemporanea di lesioni coronariche, carotidee od arteriose periferiche maggiori?