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Arch repair with antegrade cerebral perfusion through right brachial artery has excellent neurological results, provides technical simplicity and optimal repair without time restraints, does not necessitate deep hypothermia and requires shorter CPB and operation times.

Background: Due t o reported high morbidity and mortality, surgeons tend not t o endarterectomize the diffusely diseased right coronary artery. Most prefer n o t t o bypass this ' artery in such situation. We compared t h e endarterectomized right coronary patients with patients having total occlusion of right coronary artery not needing endarterectomy w h o received right coronary artery (RCA) bypass. Material and Methods: Between August 1998 and May 2000,1226 patients had coronary artery bypass grafting (CABG) a t Alkan Hospital, of whom 59 had right coronary artery endarterectomy (REC) along with RCA bypass with saphenous vein graft. We compared t h e results of 59 RCE patients with 50 patients w h o underwent RCA bypass without RCE. Results: Compared with the control group, the RCE group had a higher incidence of diabetes. There were no statistically significant differences between groups for mortality and morbidity. Among postoperative variables only the crossclamp time was longer for the RCE group (33.5 & 10 min vs. 27.3 & 8 min, p < 0.05). Surviving patients were followed for a mean period of 7 & 5 months. No recurrence of angina occurred during the follow-up. Control angiography at t h e sixth month was performed o n 42 RCE patients accepting the procedure, and all grafts were found patent. Conclusion: Endarterectomy for diffusely atherosclerotic right coronary artery for selected patients did not bring additional mortality and morbidity t o t h e CABG procedure, and short term clinical and angiographic results were excellent. fJ Card Surg 2002; 17:267-266) Coronary endarterectomy was first described by Bailey et al. in 1957, as a method of treatment for coronary artery disease without the use of cardiopulmonary bypass and coronary artery bypass

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