This Article  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

JAMA. 1978;240(8):725-734.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Simultaneous coronary bypass and carotid endarterectomy advocated

Since atherosclerosis is a generalized process, it is not surprising that patients frequently have both carotid and coronary artery disease. At the Baylor College of Medicine, Houston, for example, such cases made up 16% of the total 1,238 carotid endarterectomy cases over the last ten years.

Under those circumstances, should the surgeon perform the endarterectomy first or the coronary bypass? Neither, say Coyness Ennix, MD, instructor in surgery, and colleagues at Baylor. The best course, they believe, is to perform both procedures simultaneously.

To support this conclusion, Dr Ennix reviewed mortality and its causes for the 30-day period following surgery for three groups of endarterectomy patients. Group 1 consisted of 1,026 patients who had no sign of cardiac disease at the time of the carotid operation, although 18% of them had a history of myocardial infarction. Groups 2 and 3 were made . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?