title: Simultaneous coronary artery bypass grafting and carotid endarterectomy can be performed with low mortality rates.
abstract: BACKGROUND
  There is controversy over the best approach for patients with concomitant carotid and coronary artery disease. In this study, we report on our experience with simultaneous carotid endarterectomy (CEA) and coronary artery bypass graft (CABG) surgery in our clinic in the light of data in the literature.
  
  
  METHODS
  Between January 1996 and January 2009, a total of 110 patients (86 males, 24 females; mean age 65.11 ± 7.81 years; range 44-85 years), who were admitted to the cardiovascular surgery clinic at our hospital, were retrospectively analysed. All patients underwent simultaneous CEA and CABG. Demographic characteristics of the patients and a history of previous myocardial infarction (MI), hypertension, diabetes mellitus, hyperlipidaemia, peripheral arterial disease and smoking were recorded.
  
  
  RESULTS
  One patient (0.9%) with major stroke died due to ventricular fibrillation. Peri-operative neurological complications were observed in seven patients (6%). Complications were persistent in two patients. Four patients (3%) had postoperative major stroke, whereas three patients (2%) had transient hemiparesis. No peri-operative myocardial infarction was observed.
  
  
  CONCLUSIONS
  Simultaneous CEA and CABG can be performed with low rates of mortality and morbidity.
authors.affiliation: Kartal Kosuyolu Training and Research Hospital, Istanbul, Turkey. ebuzermd@gmail.com.
authors.forename: Ebuzer
authors.initials: E
authors.lastname: Aydin
authors.affiliation: Kartal Kosuyolu Training and Research Hospital, Istanbul, Turkey.
authors.forename: Yucel
authors.initials: Y
authors.lastname: Ozen
authors.affiliation: Kartal Kosuyolu Training and Research Hospital, Istanbul, Turkey.
authors.forename: Sabit
authors.initials: S
authors.lastname: Sarikaya
authors.affiliation: Taksim German Hospital, Istanbul, Turkey.
authors.forename: Ismail
authors.initials: I
authors.lastname: Yukseltan
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001026:Coronary Artery Bypass / Q000401:mortality*; D003324:Coronary Artery Disease / Q000401:mortality* / Q000601:surgery; D016894:Endarterectomy, Carotid / Q000401:mortality*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000401:mortality* / Q000601:surgery; D011183:Postoperative Complications / Q000517:prevention & control; D012189:Retrospective Studies; D016896:Treatment Outcome