Early-term outcomes of simultaneous carotid endarterectomy and coronary revascularization

Abstract

Objectives: This study was designed to evaluate the early-term results of the safety and effectiveness of simultaneous applications of coronary revascularization and carotid endarterectomy. Patients and methods: In the sectional descriptive study conducted between December 2010 and December 2014, 32 patients (22 males, 10 females; mean age: 66±1.6 years; range, 49 to 85 years) with coronary artery disease and carotid artery stenosis were evaluated. All patients underwent simultaneous carotid endarterectomy and coronary artery bypass grafting. They were followed at the median for three months. Demographic characteristics of the patients and a history of previous myocardial infarction, hypertension, diabetes mellitus, hyperlipidemia, renal disease, peripheral arterial disease, and smoking were recorded. Results: Hospital mortality was encountered in two (6.3%) patients. One (3.1%) patient had a postoperative major stroke, whereas two patients had a transient ischemic attack. Postoperative myocardial infarction was observed in one patient. Conclusion: Synchronous carotid endarterectomy and coronary artery bypass grafting may be safe and effective in the management of patients with concomitant carotid artery stenosis and coronary artery disease.