[Indications and outcome of simultaneous operation of carotid stenoses and stenosing coronary arteriosclerosis].

Between 1986 and September 1995 100 patients with carotid artery stenosis and coronary artery disease underwent combined carotid endarterectomy and CABG. The indications for carotid endarterctomy were transient neurological events in 38 patients and in 62 cases high-grade asymptomatic carotid artery stenosis. The surgical procedures were always performed by a vascular and a cardiac surgical team. In all cases carotid endarterectomy was performed prior to CABG, 3 patients died during the in-hospital-postoperative period: 2 patients died on the first day after surgery because of cardiac failure, 1 on the 18th day because of pneumonia. 2 patients had postoperative transient neurological events. The results are similar to those of isolated single procedures. Thus combined surgery for severe carotid and coronary artery disease can be performed with low mortality and morbidity.