Objectives: Stroke has been the most feared of the peri-operative
complication of cardiac surgery especially with significant
carotid disease >70%. This study was conducted to evaluate
if there is any benefit of CEA with concomitant CAD for
CABG.
Methods: Retrospective chart review of 100 patients with
asymptomatic high grade carotid artery stenosis (>70% undergoing
CABG + valve surgery) during 9-years period. Those patients
are divided into two groups: Group A (CABG + CEA): 33 patients
had prophylactic CEA (either staged or combined) along
with CABG + valve surgery with prophylactic CEA. Group B
(CABG): 67 patients had only CABG + valve replacement without
prophylactic CEA). The data of the two groups were collected
and analyzed.
Results: Demographic data in both groups is identical. No significant
difference in the incidence of stroke rate in both groups.
Bilateral carotid artery disease with good communication between
anterior and posterior intracranial circulation as proved by MRA
and MRI has the same result of unilateral significant carotid