Reis R L, Hannah H
J Thorac Cardiovasc Surg. 1977 Jun;73(6):909-18.
The coexistence of severe coronary artery and peripheral vascular lesions is not uncommon. Although diagnostic and sequential therapeutic techniques are standardized, the priority of surgical treatment is unresolved. Eight cases are reported in which simultaneous surgical correction of coronary atherosclerosis and carotid atherosclerosis, abdominal aortic aneurysm, or aortoiliac atherosclerosis was accomplished with success. Two additional cases demonstrate the complications which can occur when coexistent lesions are not corrected simultaneously. The surgical techniques employed are discussed. Because of these results, a further clinical trial seems warranted.
严重冠状动脉病变与周围血管病变并存并不罕见。尽管诊断和序贯治疗技术已标准化，但手术治疗的优先级仍未解决。本文报告了8例成功同时进行冠状动脉粥样硬化与颈动脉粥样硬化、腹主动脉瘤或主髂动脉粥样硬化手术矫正的病例。另外2例显示了并存病变未同时矫正时可能发生的并发症。文中讨论了所采用的手术技术。鉴于这些结果，似乎有必要进行进一步的临床试验。
