Carotid Endarterectomy at Punjab Institute of Cardiology, Lahore: mid term postoperative results

Abstract

Objective. This study was designed to review postoperative results of the carotid endarterectomy (CABG/CEA) performed at the Punjab Institute of Cardiology, Lahore. Material and methods. Cconsecutive 10 patients with coexisting severe ischemic cardiac and carotid artery disease were operated on during 1-year period ending December 2003 at Punjab Institute of Cardiology, Lahore. Results: The mean age of the study population was 60.20±7.56 years, among theses 9 were male and 1 female patient. Four (40%) patients with carotid artery stenosis were asymptomatic. Previous stroke occurred in 2 (20%) patients: two (20%) patients presented with a history of blackouts and two (20%) with a transient ischemic attack. The mid term results with regard to 30-day postoperative mortality, stroke and major postoperative complications were significantly low in terms of post operative infection as only one (10%) patient had chest infection and there was no in-hospital mortality. Conclusions. Combined interventions of CE and CABG can be performed with an acceptable morbidity and mortality when severe carotid stenosis is associated with advanced, symptomatic ischemic heart disease. The introduction of routine preoperative carotid duplex scanning resulted in higher diagnostic rate for asymptomatic carotid artery disease among the patients scheduled for combined CABG/CE procedure.