Abstract
Coronary and carotid arteries disease — often form a concomitant pathology in patients who are candidates
for surgical aortic (and/or mitral) valve replacement and may be the cause of such perioperative complications
as myocardial infarction and/or stroke. Tactics of surgical treatment of carotid and coronary arteries
(carotid endarterectomy and coronary bypass) have been developed and widely presented in the literature.
At the same time, the strategy of complex intervention on the valves of the heart, carotid and coronary vessels
remains insufficiently studied and is of considerable scientific and practical interest in the following
areas: preoperative diagnosis of the underlying disease and associated pathology, including screening ultrasound
duplex scanning of the carotid arteries, as well as the definition tactical approaches in performing surgical
treatment based on established factors of surgical risk. In addition, in recent years, the literature discusses
issues of revascularization of carotid arteries with the help of endovascular methods, which are a less
invasive alternative characterized by a lower incidence of stroke. The purpose of this article is a systematic
review of the optimization of tactical approaches to the surgical treatment of patients with valvular heart
defects and concomitant atherosclerotic lesions of carotid and coronary arteries.
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About the authors
- Suerkulov Beknazar Alymzhanovich, Cardiovascular Surgeon, orcid.org/0000-0002-5207-5763;
- Asatryan Tigran Vladimirovich, Cand. Med. Sc., Researcher, orcid.org/0000-0002-0141-5481
