Brief Reports
24 May 2024
Vol. 18 No. 2 (2024)
Complete revascularization in coronary artery bypass grafting with coronary artery endarterectomy: updated findings from Vietnam
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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We examined the technique and early outcomes of coronary artery bypass graft surgery (CABG) with endarterectomy. In 2023, the single-center database identified 24 severe coronary disease patients undergoing CABG with coronary artery endarterectomy. The patients were in a selected cohort with a minimum of three grafts for the three main vessels. Patients’ mean age was 63.8 years. The mean number of grafts was 4.3. A coronary endarterectomy (CE) was performed on the right coronary artery in 45.8% of patients, the left anterior descending artery in 29.1%, the circumflex artery in 16.6%, and the diagonal artery in 29.1%. Aortic cross-clamp took 147.2 minutes, perfusion 180.9 minutes, mechanical ventilation 18.9 hours, and intensive care unit stay 4.8 days. Our in-hospital mortality rate was 8.3% with no technical complications. To achieve complete revascularization in patients with extensive coronary artery disease, CE should be considered an acceptable adjunct to CABG.
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Citations
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Minale C, Nikol S, Zander M, et al. Controversial aspects of coronary endarterectomy. Ann Thorac Surg 1989;48:235-41. DOI: https://doi.org/10.1016/0003-4975(89)90077-5
Kumar S, Agarwala S, Talbot C, Nair RU. Long term survival after coronary endarterectomy in patients undergoing combined coronary and valvular surgery--a fifteen year experience. J Cardiothorac Surg 2008;3:15. DOI: https://doi.org/10.1186/1749-8090-3-15
Ferraris VA, Harrah JD, Moritz DM, et al. Long-term angiographic results of coronary endarterectomy. Ann Thorac Surg 2000;69:1737-43.
Schwann TA, Zacharias A, Riordan CJ, et al. 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. DOI: https://doi.org/10.1016/j.athoracsur.2007.02.053
LaPar DJ, Anvari F, Irvine JN, et al. The impact of coronary artery endarterectomy on outcomes during coronary artery bypass grafting. J Card Surg 2011;26:247-53. DOI: https://doi.org/10.1111/j.1540-8191.2011.01247.x
Schmitto JD, Kolat P, Ortmann P, et al. Early results of coronary artery bypass grafting with coronary endarterectomy for severe coronary artery disease. J Card Surg 2009;4:52. DOI: https://doi.org/10.1186/1749-8090-4-52
Tiruvoipati R, Loubani M, Lencioni M, et al. Coronary endarterectomy: impact on morbidity and mortality when combined with coronary artery bypass surgery. Ann Thorac Surg 2005;79:1999-2003. DOI: https://doi.org/10.1016/j.athoracsur.2004.12.041
Ferraris VA, Harrah JD, Moritz DM, et al. Long-term angiographic results of coronary endarterectomy. Ann Thorac Surg 2000;69:1737-43. DOI: https://doi.org/10.1016/S0003-4975(00)01293-5
Marinelli G, Chiappini B, Di Eusanio M, et al. Bypass grafting with coronary endarterectomy: immediate and long-term results. J Thorac Cardiovasc Surg 2002;124:553-60. DOI: https://doi.org/10.1067/mtc.2002.124670
How to Cite
Complete revascularization in coronary artery bypass grafting with coronary artery endarterectomy: updated findings from Vietnam. (2024). Italian Journal of Medicine, 18(2). https://doi.org/10.4081/itjm.2024.1734
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