{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T15:54:05Z","timestamp":1761062045950,"version":"3.38.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2000,10,1]],"date-time":"2000-10-01T00:00:00Z","timestamp":970358400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiovascular Surgery"],"published-print":{"date-parts":[[2000,10]]},"abstract":"<jats:sec><jats:title>Objective:<\/jats:title><jats:p> The purpose of this study was to identify factors correlating with a poor outcome following combined cardiac and vascular procedures. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> We reviewed 45 consecutive patients undergoing combined cardiac and vascular operations. These included cardiac\/CEA ( n = 27), cardiac\/AAA ( n = 13), cardiac\/AAA\/one other vascular reconstruction ( n = 4), and cardiac\/renal artery bypass ( n = 1). Group 1 included all patients with no morbidity or mortality ( n = 41) and Group II included patients who died or suffered significant morbidity (stroke, renal failure) ( n = 4). <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> Overall mortality was 4.4% (2\/45). These two patients underwent cardiac surgery combined with two additional vascular procedures (cardiac\/AAA\/other). In patients undergoing cardiac\/CEA or cardiac\/AAA, there were no deaths and one stroke (contralateral to CEA). Group II had significantly decreased ejection fraction (39% \u00b1 6% vs 52% \u00b1 1%) and an increased number of procedures (2.75 vs 2.04). <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions:<\/jats:title><jats:p> Combined cardiac surgery and vascular reconstruction can be performed safely. However, multiple vascular reconstructions or the presence of decreased ejection fraction increased operative risk. <\/jats:p><\/jats:sec>","DOI":"10.1177\/096721090000800609","type":"journal-article","created":{"date-parts":[[2024,9,26]],"date-time":"2024-09-26T17:55:03Z","timestamp":1727373303000},"page":"452-456","source":"Crossref","is-referenced-by-count":2,"title":["The Safety of Combined Cardiac and Vascular Operations: How Much is too Much?"],"prefix":"10.1177","volume":"8","author":[{"given":"James J.","family":"Gangemi","sequence":"first","affiliation":[{"name":"Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Virginia Health Sciences Center, Charlottesville, VA, 22908, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irving L.","family":"Kron","sequence":"additional","affiliation":[{"name":"Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Virginia Health Sciences Center, 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