Métodos:
Este es un estudio retrospectivo sobre 33 enfermos con angina inestable y con lesiones carotídeas bilaterales >70%, que fueron sometidos a cirugía de bypass coronario y endarterectomía bilateral.
Resultados:
La mortalidad perioperatoria fue de 6% (n=2). El tiempo de permanencia promedio en la unidad de recuperación fue de 4 días y el tiempo de internación de 16 días. No hubo accidentes cerebrovasculares.
Conclusión: La cirugía combinada de bypass coronario y endarterectomía carotídea ofrece un bajo riesgo y justifica este operativo simultáneo en pacientes cuya revascularización coronaria no puede ser programada en forma electiva.
Ann Thorac Surg 2001;71:777-781
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