Dalton M L, Parker T M, Mistrot J J, Bricker D L
J Thorac Cardiovasc Surg. 1978 Apr;75(4):621-4.
Concomitant cardiac procedures performed in conjunction with coronary bypass have become commonplace, but not concomitant noncardiac procedures. Bernhard and associates were the first to report concomitant coronary bypass and carotid endarterectomy. This series, begun in 1971, consists of 71 noncardiac procedures performed concomitantly with coronary bypass on 68 patients. Thirty-seven procedures were performed for associated vascular disease, including carotid endarterectomy (25 patients) and resection of abdominal aortic aneurysm (three patients). Other concomitant problems included are thymoma, bronchogenic carcinoma, and hiatal hernia. The operative mortality rate of 2.9 percent compares very favorably with that of 1.7 percent in our group of patients having isolated coronary artery bypass. A plea is made for consideration of concomitant surgery in patients with operable coronary heart disease who have an additional serious noncardiac surgical disease.
与冠状动脉搭桥术同时进行的心脏手术已变得很常见，但非心脏手术并非如此。伯恩哈德及其同事率先报告了冠状动脉搭桥术与颈动脉内膜切除术同时进行的情况。该系列研究始于1971年，包括对68例患者在冠状动脉搭桥术的同时进行的71例非心脏手术。37例手术是针对相关血管疾病进行的，包括颈动脉内膜切除术（25例患者）和腹主动脉瘤切除术（3例患者）。其他同时存在的问题包括胸腺瘤、支气管源性癌和食管裂孔疝。2.9%的手术死亡率与我们组单纯冠状动脉搭桥术患者1.7%的死亡率相比非常有利。对于患有可手术治疗的冠心病且伴有另一种严重非心脏外科疾病的患者，有人呼吁考虑进行同期手术。
