Myocardial Revascularization and Carotid Endarterectomy: a Combined Approach

J. Edward Okies, Quentin MacManus, Albert Starr

Research output: Contribution to journalArticlepeer-review

43 Scopus citations


The approach to the patient with combined carotid and coronary artery occlusive disease has been evolving since coronary bypass procedures became feasible. When neurological and cardiac symptoms are remote, sequential procedures are adequate. Neurological symptoms or severe carotid stenoses (or both) appearing simultaneously with symptoms of myocardial ischemia present a more difficult problem. Simultaneous operation has been performed in 16 patients with 1 early death (low output) and 2 cerebral complications (1 patient with residual hand weakness and 1 without neurological residua). The morbidity and mortality seemed unrelated to the fact that procedures were done at one operation. Therapy, however, must be tailored to the individual patient.

Original languageEnglish (US)
Pages (from-to)560-563
Number of pages4
JournalAnnals of Thoracic Surgery
Issue number6
StatePublished - 1977

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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