EVALUATION OF THE RESULTS OF COMBINED CORONARY ENDARTERECTOMY IN CORONARY ARTERY BYPASS GRAFT SURGERY

Nguyen Cong Huu, Ngo Thanh Hung, Ngyen Huu Uoc, Le Ngoc Thanh

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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. 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.

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References

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