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Date Published: 02/11/2020
Online Published: 02/11/2020
Abstract Views: 143
Views PDF: 179
DOI: https://doi.org/10.47972/vjcts.v17i.125
Issue
Vol. 17
Section
Research Article
How to Cite
Huu, N. C. ., Hung, D. Q. ., & Uoc, N. H. . (2020). Coronary artery endarterectomy during coronary artery bypass graftinga. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 17, 39-43. https://doi.org/10.47972/vjcts.v17i.125

Coronary artery endarterectomy during coronary artery bypass graftinga

Nguyen Cong Huu, Doan Quoc Hung, Nguyen Huu Uoc

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Abstract

24 patients (20 males, 4 females) with severe coronary disease undergoing CABG operations with concomitant coronary artery endarterectomy. They were in selected cohort with minimum of three grafts for three main vessles. All patents were operated by the same surgeons. Mean age was 63.8 years. Number of grafts: 4,3 ± 0.7 vessels per patient. CE was performed on left anterior descending artery 24,1%, right coronary artery 37,9%, on circumflex artery 13,8% and diagonal artery 24,1%. Cross-clamp times 147,2 ± 26,0 minutes, perfusion times 180,9 ± 28,2 minutes, ventilated time: 18,9 ± 10,5 hours, ICU stays: 4,8 ± 0,9 days. Operative mortality: 2 patients (8.3% ). No technical complication. Follow up: 51,2 ± 13,7 months. Mid-term mortality 2 patients(9,52%). Coronary bypass angiography: graft patency 15, occlusion 2. Coronary endarterectomy should be considered an acceptable adjunct to CABG for patients with extensive coronary artery disease to achieve complete revascularization.

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References

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