Coronary artery endarterectomy during coronary artery bypass grafting - A solution for complete revascularization

Performance of CABG with concomitant coronary artery endarterectomy in patients with severe coronary disease provides more complete revascularization. We examined the technique and early outcomes of CABG with endarterectomy.
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Coronary artery endarterectomy during coronary artery bypass grafting - A solution for complete revascularization44 Publishing license number: 07/GP-BTTTT, issued on 04 January 2012Coronary artery endarterectomy during coronary artery bypass grafting - A solution for complete revascularization Nguyen Cong Huu1*, Doan Quoc Hung2, Ngo Thi Hai Linh1, Nguyen Huu Uoc2, Le Ngoc Thanh ABSTRACT the treatment of stenotic atherosclerotic coronary Background: Performance of CABG with artery disease (CAD). To achieve completeconcomitant coronary artery endarterectomy in revascularization in patients with severelypatients with severe coronary disease provides stenotic coronary arteries, many authors in themore complete revascularization. We examined world reported on the combination of coronarythe technique and early outcomes of CABG with endarectemy (CE) and CABG. However, thisendarterectomy (CE). issue is still controversial due to the complexity Subjects and method: 24 patients (20 and risks of the operation [1],[2]. In Vietnam,males, 4 females) with severe coronary disease until now, no authors have discussed about thisundergoing CABG operations with concomitant technique. Our study aims at describing thecoronary artery endarterectomy. They were in a technique, investigating the indications as well asselected cohort with minimum of three grafts for evaluating the early post-operative outcomes.1three main vesseles. All patients were operated on 2. SUBJECTS AND METHODby the same group of surgeon. . An observational study of 24 patients with Results: Mean age was 63,8 years. Number severe CAD underwent CABG surgery with atof grafts: 4,3 ± 0,7 vessels per patient. CE was least 3 grafts into three main coronary arteriesperformed on right coronary artery 45,8%, on left and concomitant CE from 2011 to 2014 atanterior descending artery 29,1%, circumflex Cardiovascular Center, E Hospital. The patientsartery 16,6% and diagonal artery 29,1%. Cross-clamp times 147,2 ± 26,0 minutes, perfusion were operated on according to the classicaltimes 180,9 ± 28,2 minutes, ventilated time: 18,9 surgical method with extracorporeal circulation,± 10,5 hours, ICU stays: 4,8 ± 0,9 days. aortic cross clamp on the arrested heart. TheseOperative mortality: 2 patients (8,3%), no operations were performed by the same group oftechnical complication. surgeons. Parameters before, during and after the Conclusion: Coronary endarterectomy operation were collected based on a unified form.should be considered an acceptable adjunct to The data was analyzed by medical statistic usingCABG for patients with extensive coronary artery SPSS software.disease to achieve complete revascularization. 1 Keywords: endarterectomy, CABG Cardiovascular centre – E Hospital 2 Viet Duc Hospital 1. BACKGROUND *Corresponding author: Nguyen Cong Huu, Coronary artery bypass grart (CABG) Email: bacsyhuu@trungtamtimmach.vn, Tel. 0912168887surgery is a conventional open heart surgery for Received: 23/04/2022 - Accepted: 20/07/2022 The Vietnamese Journal of Cardiovascular and Thoracic Surgery Vol.38 - 7/2022Coronary artery endarterectomy during coronary artery bypass grafting - A solution for complete revascularization 45 3. RESULTS Table 1. General characteristics, medical history Characteristics n =24 (%) Mean (Min - Max) Age (years) 63,8 ± 7,5 (52 - 81) BMI 22,7 ± 2,79 (17,6 – 27,5) Sex Male 20 83,3% Female 4 ...