{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:56:08Z","timestamp":1753876568966,"version":"3.41.2"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2020,2,12]],"date-time":"2020-02-12T00:00:00Z","timestamp":1581465600000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The surgical management of advanced symptomatic atherosclerotic disease in multiple distributions including the coronary circulation presents unique challenges due to the high risk of perioperative ischemic complications in the setting of coronary artery bypass grafting. We present a novel case of the combined surgical management of symptomatic carotid, coronary and mesenteric ischemic disease. The patient underwent carotid endarterectomy followed by combined coronary and mesenteric revascularization using cardiopulmonary bypass during the same hospital admission. He had an uncomplicated post-operative course and was discharged to home on post-operative day 7 after the combined procedure. Ninety-day follow-up was also unremarkable with the patient having no recurrent symptoms of ischemia. This case demonstrates the feasibility and safety of our approach for this rare clinical presentation.<\/jats:p>","DOI":"10.1093\/jscr\/rjz392","type":"journal-article","created":{"date-parts":[[2020,1,23]],"date-time":"2020-01-23T04:28:52Z","timestamp":1579753732000},"source":"Crossref","is-referenced-by-count":0,"title":["Combined surgical treatment of symptomatic carotid, coronary and mesenteric occlusive disease"],"prefix":"10.1093","volume":"2020","author":[{"given":"Dante C","family":"Dali","sequence":"first","affiliation":[{"name":"Divisions of Cardiac and Vascular Surgery, Department of Cardiovascular Sciences, Brody School of Medicine, East Carolina Heart Institute at East Carolina University, Greenville, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satvik","family":"Jhamb","sequence":"additional","affiliation":[{"name":"Divisions of Cardiac and Vascular Surgery, Department of Cardiovascular Sciences, Brody School of Medicine, East Carolina Heart Institute at East Carolina University, Greenville, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C Steven","family":"Powell","sequence":"additional","affiliation":[{"name":"Divisions of Cardiac and Vascular Surgery, Department of Cardiovascular Sciences, Brody School of Medicine, East Carolina Heart Institute at East Carolina University, Greenville, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shahab A","family":"Akhter","sequence":"additional","affiliation":[{"name":"Divisions of Cardiac and Vascular Surgery, Department of Cardiovascular Sciences, Brody School of Medicine, East Carolina Heart Institute at East Carolina University, Greenville, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,2,12]]},"reference":[{"key":"2020021209332994900_ref1","doi-asserted-by":"crossref","first-page":"803","DOI":"10.1111\/jocs.14145","article-title":"Concomitant severe carotid and coronary artery diseases: a separate management or concomitant approach","volume":"34","author":"Chan","year":"2019","journal-title":"J Card Surg."},{"key":"2020021209332994900_ref2","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1016\/j.jcin.2016.11.032","article-title":"Comparison of trends and in-hospital outcomes of concurrent carotid artery revascularization and coronary artery bypass graft surgery: The United States experience 2004 to 2012","volume":"10","author":"Feldman","year":"2017","journal-title":"JACC Cardiovasc Interv"},{"key":"2020021209332994900_ref3","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1016\/j.jvs.2012.02.028","article-title":"Regional use of combined carotid endarterectomy\/coronary artery bypass graft and the effect of patient risk","volume":"56","author":"Jones","year":"2012","journal-title":"J Vasc Surg."},{"key":"2020021209332994900_ref4","doi-asserted-by":"crossref","first-page":"1096","DOI":"10.1016\/j.athoracsur.2004.03.035","article-title":"Combined myocardial and mesenteric surgical revascularization","volume":"80","author":"Kindo","year":"2005","journal-title":"Ann Thorac Surg."},{"key":"2020021209332994900_ref5","first-page":"587","article-title":"Simultaneous surgical intervention to coronary artery disease, peripheral arterial disease and superior mesenteric artery stenosis","volume":"40","author":"Guler","year":"1999","journal-title":"J Cardiovasc Surg (Torino)."}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/2\/rjz392\/32442605\/rjz392.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/2\/rjz392\/32442605\/rjz392.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,2,12]],"date-time":"2020-02-12T14:33:52Z","timestamp":1581518032000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjz392\/5734245"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,1]]},"references-count":5,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,2,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjz392","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2020,2]]},"published":{"date-parts":[[2020,2,1]]},"article-number":"rjz392"}}