Deloche A, Fabiani J N, Carpentier A, Massoud H, Mollin B, Périer P, Renaudin J M, Suarez J, Vigreux J, Dubost C
Arch Mal Coeur Vaiss. 1981 Feb;74(2):197-205.
Coronary artery surgery may be envisaged in the context of diffuse arterial disease, especially in association with lesions of the cerebral and lower limb axes. The object of this paper is to advance the concept of coronary surgery coupled with peripheral vascular surgery. Ten patients underwent double revascularisation (coronary and peripheral vessels) between 1977 and 1979. In Group I (5 patients) coronary surgery was coupled with simultaneous cerebral revascularisation (1 aorto-brachiocephalic bypass and 4 endarterectomies). Group II comprised 5 patients undergoing simultaneous coronary and aorto-bifemoral bypass surgery. No operative deaths or serious complications were observed in this short series. The practical conclusions are in favour of widening the indications for simultaneous coronary and cerebral revascularisation. However, the indications for coronary surgery coupled with lower limb revascularisation must be precise and, therefore, more limited.
在弥漫性动脉疾病的背景下，尤其是与脑和下肢血管病变相关联时，可考虑进行冠状动脉手术。本文的目的是提出冠状动脉手术联合外周血管手术的概念。1977年至1979年间，10例患者接受了双重血运重建术（冠状动脉和外周血管）。第一组（5例患者）进行了冠状动脉手术并同时进行了脑血运重建术（1例主动脉-头臂旁路移植术和4例动脉内膜切除术）。第二组包括5例同时进行冠状动脉和主动脉-双股动脉旁路移植手术的患者。在这个短系列研究中未观察到手术死亡或严重并发症。实际结论支持扩大冠状动脉和脑血运重建术同时进行的适应证。然而，冠状动脉手术联合下肢血运重建术的适应证必须精确，因此更为有限。
