OBJECTIVES: To evaluate the management of coexisting severe @entity543 in candidates for coronary artery bypass grafting. METHODS: Twenty-six candidates for coronary artery bypass complicated with severe @entity543 > or = 70% were analyzed retrospectively. The prevalence of significant @entity543 was 6.4%. There were 21 males and 5 females with a mean age of 65.3 +/- 9.3 years. The hemodynamics of cerebral circulation, intervention for @entity543 , surgical mortality, morbidity, and long-term survival were analyzed retrospectively. RESULTS: The prevalence of bilateral @entity543 was 30.8% (8/26). Nine @entity1 had total occlusion of the internal carotid artery, 10 had @entity543 of 90-99%, and 7 had @entity543 of 70-89%. Seven @entity1 required mechanical support for @entity1887 , including six @entity1 requiring simultaneous artificial ventilation and intraaortic balloon pumping, and one requiring intraaortic balloon pumping. Concomitant carotid endarterectomy and coronary bypass grafting was performed in 10 @entity1 , preceding carotid endarterectomy in 1, and preceding coronary bypass grafting with subsequent carotid endarterectomy in 7. Cardiopulmonary bypass was used in 22 @entity1 . There was no surgical @entity204 . Although one @entity1 undergoing concomitant carotid endarterectomy and coronary artery bypass grafting had perioperative @entity64 , the remaining @entity1 recovered without any @entity16 (morbidity of @entity64 : 3.8%). The five-year survival rate was 71.9 +/- 11.7%. CONCLUSIONS: Coronary artery bypass grafting in candidates with @entity543 can be treated safely when appropriate preoperative evaluation and surgical strategies are utilized.

[Clinical outcome for coronary artery bypass grafting in XXXX with severe carotid occlusive disease].

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity64 :: ('MESH:D020521', 'Disease') :: ['stroke'] @entity1887 :: ('MESH:D000309', 'Disease') :: ['cardiopulmonary insufficiency'] @entity16 :: ('MESH:D009422', 'Disease') :: ['neurological complication'] @entity543 :: ('MESH:D016893', 'Disease') :: ['carotid stenosis'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death']
@entity1 :: (9606,Species) :: ['patients']
