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Abstract
Perioperative stroke remains one of the most serious complications after coronary artery bypass surgery with an incidence of 2%-9% Myocardial infarction is the most common cause of early and late death following carotid endarterectomy with an incidence of 17% in patients with unstable angina pectoris. Current strategies include combined coronary artery bypass grafting (CABG) and carotid endarterectomy (CEA) surgery during the same anesthetic session or staging of the procedures with the CABG
surgery performed before or after the CEA. Controversy exists as to
which strategy is optimal with regard to the incidence of adverse
outcomes after surgery. from 2003 to 2007, sixty patients with coronary artery disease and carotid artery disease were subjected to coronary artery bypass grafting and carotid endarterectomy, twenty patients underwent the combined procedure (Group I), twenty underwent the staged procedure with CABG performed 6 weeks before CEA (Group II) and twenty performed the staged procedure with CEA performed 4 weeks before CABG (Group III).