Ways to decrease the number of complications of combined operations of carotid endarterectomy and coronary bypass surgery in patients with bilateral lesion of the carotid arteries

: In the period from 2003 to 2009 operations of coronary bypass surgery were made in 2657 cases, 4.25% of the patients being operated on coronary arteries (CA). Mean age (60.6 +/- 4.8) years of 83.2% of the patients had no neurological symptoms. The results of one-stage operations in patients with a unilateral lesion of the coronary arteries are not worse than those after isolated revascularization of the myocardium (lethality 2.8%, infarction 2.8%). The results of one-stage operaions in bilateral lesion of the coronary arteries can be improved using hypothermal perfusion, but the risk of neurological complications remains high.