%0 Journal Article %T Revasculariza£¿£¿o simultanea do mioc¨¢rdio e dos troncos supra-a¨®rticos %A Cunha %A Claudio Ribeiro da %A Santos %A Paulo C¨¦sar %A Atik %A Fernando Antibas %A Conti %A Daniel Oliveira de %J Revista Brasileira de Cirurgia Cardiovascular %D 2012 %I Sociedade Brasileira de Cirurgia Cardiovascular %R 10.5935/1678-9741.20120025 %X we report the case of a 58-year-old patient, with a three vessel disease with unstable angina. due to refractory angina, she was referred to urgent coronary artery bypass graft (cabg). in the preoperative evaluation were found severe obstructive lesions in the brachiocephalic trunk origin, left common carotid origin and left internal carotid artery. the patient underwent cabg, supra-aortic trunks revascularization (extra-anatomic bypass) and carotid endarterectomy in the same procedure. she presented an uneventful recovery and was discharged home on the seventh postoperative day. currently, two years after the procedure, she continues under follow-up, symptomless. %K angina %K unstable %K myocardial revascularization %K carotid stenosis. %U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0102-76382012000100025&lng=en&nrm=iso&tlng=en