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Date Published: 02/11/2020
Abstract Views: 135
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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

1. E. Soylu, L. Harling, H. Ashrafian et al (2014). Does coronary endarterectomy technique affect surgical outcome when combined with coronary artery bypass grafting? Interact Cardiovasc Thorac Surg, 19 (5), 848-855.
2. C. Minale, S. Nikol, M. Zander et al (1989). Controversial aspects of coronary endarterectomy. Ann Thorac Surg, 48 (2), 235-241.
3. S. Kumar, S. Agarwala, C. Talbot et al (2008). Long term survival after coronary endarterectomy in patients undergoing combined coronary and valvular surgery--a fifteen year experience. J Cardiothorac Surg, 3, 15.
4. V.A. Ferraris, J.D. Harrah, D.M. Moritz et al (2000). Long-Term Angiographic Results of Coronary Endarterectomy. Ann Thorac Surg, 69, 1737– 1743.
5. T. A. Schwann, A. Zacharias, C. J. Riordan et al (2007). Survival and graft patency after coronary artery bypass grafting with coronary endarterectomy: role of arterial versus vein conduits. Ann Thorac Surg, 84 (1), 25-31.
6. J. D. Schmitto, P. Kolat, P. Ortmann et al (2009). Early results of coronary artery bypass grafting with coronary endarterectomy for severe coronary artery disease. J Cardiothorac Surg, 4, 52.
7. D. J. LaPar, F. Anvari, J. N. Irvine et al (2011). The impact of coronary artery endarterectomy on outcomes during coronary artery bypass grafting. J Card Surg, 26 (3), 247-253.