EVALUATION OF THE RESULTS OF COMBINED CORONARY ENDARTERECTOMY IN CORONARY ARTERY BYPASS GRAFT SURGERY
Main Article Content
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. Results: Mean age was 63.8 years. Number of grafts: 4,3 ± 0.7 vessels per patient. CE was performed on right coronary artery 45,8%, on left anterior descending artery 29,1%, circumflex artery 16,6% and diagonal artery 29,1%. 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. Coronary endarterectomy should be considered an acceptable adjunct to CABG for patients with extensive coronary artery disease to achieve complete revascularization.
Article Details
References
2. Minale C, Nikol S, Zander M, Uebis R. Controversial Aspects of Coronary Endarterectomy. Ann Thorac Surg 1989;48:23541
3. Sanjay Kumar, Sandeep Agarwala, Charlie Talbot and R Unnikrishnan Nair. Long term survival after coronary endarterectomy in patients undergoing combined coronary and valvular surgery – a fifteen year experience. Journal of Cardiothoracic Surgery2008; 3:15
4. Ferraris AV, Harrah JD et al. Long-Term Angiographic Results of Coronary Endarterectomy. Ann Thorac Surg 2000;69:1737– 43
5. Schwann TA, Anoar Zacharias, Christopher J. Survival and Graft Patency After Coronary Artery Bypass Grafting With Coronary Endarterectomy: Role of Arterial Versus Vein Conduits. Ann Thorac Surg 2007;84:25–31
6 . Damien J. LaPar et al. The Impact of Coronary Artery Endarterectomy on Outcomes During Coronary Artery Bypass Grafting. J Card Surg. 2011 May ; 26(3): 247–253
7. Schmitto JD, Philipp Kolat, Philipp Ortmann et al. Early results of coronary arterybypass grafting with coronary endarterectomy for severecoronary artery disease. Journal of Cardiothoracic Surgery2009, 4:52