Is it a simultaneous correction of coronary, carotid and major peripheral arterial lesions indicated?

The contemporaneous surgical treatment of coronary and vascular disease is still controversial. In the attempt to bring our contribution at this chapter, we present a case series of 69 patients, among 2149 operated on myocardial revascularization between January 1982 and December 1990, submitted simultaneously to aortocoronary bypass and vascular procedures, i.e. carotid endarterectomy or limbs' revascularization. The immediate and late results achieved through the combined surgical approach have shown a mortality slightly greater than the staged procedure. However, the absence of neurological or abdominal complication and the improvement in term of survival and life's quality encourage us to continue with this surgical strategy, whenever the clinical status of the patients and the pathological aspect of the lesions permit it

Is it a simultaneous correction of coronary, carotid and major peripheral arterial lesions indicated?

The contemporaneous surgical treatment of coronary and vascular disease is still controversial. In the attempt to bring our contribution at this chapter, we present a case series of 69 patients, among 2149 operated on myocardial revascularization between January 1982 and December 1990, submitted simultaneously to aortocoronary bypass and vascular procedures, i.e. carotid endarterectomy or limbs' revascularization. The immediate and late results achieved through the combined surgical approach have shown a mortality slightly greater than the staged procedure. However, the absence of neurological or abdominal complication and the improvement in term of survival and life's quality encourage us to continue with this surgical strategy, whenever the clinical status of the patients and the pathological aspect of the lesions permit it

Sostituzione valvolare mitro-aortica:fattori che influenzano il rischio operatorio.

83 patients, 41 male and 42 female, mean age 54,04, operated on of mitro-aortic valve replacement from Jan 1982 to December 1987 were examinated to identify statistically significative operative risk factors. The vast majority of patients had calcific involvement of one (11,4%) or two (48,2%) valves; 7 cases underwent myocardial revascularization for concomitant coronary artery lesions and 17 (20,4%) had previously undergone cardiac operations. The hospital mortality was 8,4%, resulting significantly (p<0.05) influenced by more severe functional class of New Your Heart Association (NYHA) and by involvement of respiratory, renal and hepatic function; incremental risk factors for early mortality

Sostituzione valvolare mitro-aortica:fattori che influenzano il rischio operatorio.

83 patients, 41 male and 42 female, mean age 54,04, operated on of mitro-aortic valve replacement from Jan 1982 to December 1987 were examinated to identify statistically significative operative risk factors. The vast majority of patients had calcific involvement of one (11,4%) or two (48,2%) valves; 7 cases underwent myocardial revascularization for concomitant coronary artery lesions and 17 (20,4%) had previously undergone cardiac operations. The hospital mortality was 8,4%, resulting significantly (p<0.05) influenced by more severe functional class of New Your Heart Association (NYHA) and by involvement of respiratory, renal and hepatic function; incremental risk factors for early mortality