Severe atherosclerosis is an important risk factor for stroke or peripheral embolization in operations requiring cannulation and clamping of the thoracic aorta and for myocardial infarction in patients undergoing other surgical procedures [1], [2]. Proximal disease of all supraaortic branches is rare and can cause a variety of manifestations depending on the degree of stenosis, general atherosclerosis and collateral circulation. Nevertheless, some patients may be asymptomatic [3], [4]. Few data are available on simultaneous occlusive disease of the brachiocephalic and heart vessels and their management. We propose a single-stage approach for this complex entity.
References
1
Di Tommaso L, Iannelli G, Monaco M, Mottola M, De Amicis V, Spampinato N.
A single-stage procedure for carotid endarterectomy and myocardial revascularization. Early and late results.
Tex Heart Inst J.
2005;
32
271-276
3
Uurto I T, Lautamatti V, Zeitlin R, Salenius J P.
Long-term outcome of surgical revascularization of supraaortic vessels.
World J Surg.
2002;
26
1503-1506
4
AbuRahma A F, Robinson P A, Jennings T G.
Carotid-subclavian bypass grafting with polytetrafluoroethylene grafts for symptomatic subclavian artery stenosis or occlusion: a 20-year experience.
J Vasc Surg.
2000;
32
411-419
5
Berguer R, Morasch M D, Kline R A.
Transthoracic repair of innominate and common carotid artery disease: immediate and long-term outcome for 100 consecutive surgical reconstructions.
J Vasc Surg.
1998;
27
34-41
