1996 Volume 46 Issue 6 Pages 493-497
Combined operation of coronary artery bypass grafting (CABG) and carotid endarterectomy (CEA) was performed for a 77-year-old man who had triple vessel with left main trunk coronary artery disease and severe left carotid artery stenosis. The left internal thoracic artery and three saphenous vein grafts were bypassed with a single proximal anastomosis as CABG, and CEA was done with vein patch plasty under selective cerebral perfusion using a cardiopulmonary bypass circuit. He recovered without complications and did not require no homologous blood transfusion. We consider elderly CABG patients high risk to be at arteriosclerotic complications, so careful management is needed for individual cases.
