JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2015, Vol. 53 ›› Issue (5): 71-74.doi: 10.6040/j.issn.1671-7554.0.2014.787

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Treatment of coronary heart diseases complicated with carotid arteriostenosis with coronary artery bypass grafting plus carotid endarterectomy

QU Qingxi, ZHAO Xin, SUN Wenyu, SONG Guangmin, MENG Xiangbin, BI Yanwen   

  1. Department of Cardiac Surgery, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
  • Received:2014-11-04 Revised:2015-02-28 Online:2015-05-10 Published:2015-05-10

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Abstract: Objective To summarize the clinic experiences of coronary artery bypass grafting (CABG) and carotid endarterectomy (CEA) in the treatment of carotid arteriostenosis and coronary heart diseases, and investigate the operation approaches and curative effects. Methods Clinical data of 22 patients with carotid arteriostenosis complicated with coronary artery diseases who underwent CEA and CABG during July 2008 and Nov 2013 in Qilu Hospital of Shandong University were retrospectively reviewed. Results One patient who underwent double valve replacement due to renal failure died. No cerebral complications were found during the perioperative period. A total of 20 patients (95.2%, 20/21) were followed up for 12-76 months (mean 44.3±20.2 months). Angina occurred in 1 patient three years after operation, while other patients had no symptoms of angina, and their cardiac function were improved significantly. No stroke was found. Of the 16 patients who had severe brain ischemia, the symptoms were remarkably improved after the surgery. Carotid duplex ultrasound or carotid CTA results showed that carotid arteries were widened, and blood flow was smooth. There were statistical differences in blood flow velocity, diameter of vessels and left ventricular ejection fraction (LVEF) before and after operation (P<0.05). Conclusion Concomitant CABG and CEA is safe and effective for patients with carotid arteriostenosis and coronary artery diseases.

Key words: Coronary artery bypass grafting, Carotid endarterectomy, Carotid arteriostenosis, Coronary heart disease

CLC Number: 

  • R654.2
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