Coronary endarterectomy for diffuse extensive coronary artery disease

Padhy, Karunakara; Narasimham, Suri Bhaskara Rama; Murthy, G.S.R.; Chaganti, Venkateswara Rao; P, Kumar; Rao, Malipeddi Bhaskar; Kodem, Damodar Rao; Sinha, Gopal Krishan; Satyanaryana, Ponangi Venkata

doi:10.1007/s12055-005-0001-y

Cited by 7 publications

(2 citation statements)

References 17 publications

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“…In our study, the number ofa positive inotropic requirement was 68 (69.3%) and IABP support was required in 23 (23.4%) patients. Padhy et al [11] statedthese rates as 64.2% and 16.6%, respectively.…”

Section: Hap3#2au`$ A#)a$ __ 4'22$ E?@a2#and$ A$ A#)a$ ___ =?@Uhfp'(#$ mentioning

confidence: 96%

Effects of coronary endarterectomy on postoperative early results in long segment coronary artery disease

Güvenç¹,

Goncu

Engin

et al. 2020

The European Research Journal

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Objectives: Main goal of coronary bypass surgery is complete revascularization. In some coronary endarterectomy applied patient groups, complete revascularization is inevitable. In this study, it was aimed to reveal factors affecting early mortality and morbidity in patients undergoing coronary endarterectomy. Methods: Retrospective records of preoperative, operative, and postoperative data of 98 patients undergoing coronary artery bypass grafting (CABG) with coronary endarterectomy between January 1, 2012, and October 30, 2016, were reviewed. Results: A total of 113 endarterectomies were performed in different coronary arteries. Of the patients, 22 (22.4%) were female and 76 (77.6%) were male. The mean of ages was 60.4 ± 9.9 (range; 36-81 years). A positive inotropic requirement was required in 68 (69.1%) patients and intra-aortic balloon pump was required for 23 (23.4%) patients. Mortality was observed in 10 patients (10.2%). Peroperative myocardial infarction was observed in 17 (17.3%) patients. Mortality rate was significantly higher in patients whose left ventricular ejection fraction was 30 or less and who had a higher risk in EuroSCORE (p < 0.001). When compared with the other vessels, mortality ratewas found to be higher for left anterior descending coronary artery endarterectomy (p = 0.038). Mortality in female patients undergoing endarterectomy was higher than male patients (p = 0.023). Conclusions: Mortality and morbidity are higher in patients undergoing coronary endarterectomy when compared to conventional CABG operations. However, it is a method that can be applied by considering certain risk factors.

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Section: Hap3#2au`$ A#)a$ __ 4'22$ E?@a2#and$ A$ A#)a$ ___ =?@Uhfp'(#$ mentioning

confidence: 96%

Effects of coronary endarterectomy on postoperative early results in long segment coronary artery disease

Güvenç¹,

Goncu

Engin

et al. 2020

The European Research Journal

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“…9, 10 WD Jhonson and DA Cooley who performed a large series of coronary end arterectomy revealed that there is an increase in surgical risk and good long term effect in selected group of patient. 11 We could get a small number of end artrectomy samples after surgical procedure from Department of Cardiothoracic Surgery as it is a rare procedure and potential cause for surgical complications.…”

Section: Discussionmentioning

confidence: 99%

Porphyromonas Gingivalis in Coronary Atheroma and Subgingival Plaque – A Clinical and Microbiological Study

Rath¹,

Sen²,

Gupta³

et al. 2014

jemds

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: BACKGROUND:There has been increasing attention paid in recent years to the possibility that oral bacterial infection, particularly periodontal disease may influence the initiation and or progression of systemic diseases. These studies confirm the observation that heart disease is the most commonly found systemic condition in patients with periodontal disease. Moreover, the literature has also highlighted substantial evidence indicating the presence of gram negative periodontal pathogens in atheromatous plaques. AIMS : The present study intends to investigate the possible association between periodontal health and coronary artery disease by evaluating periodontal status, association between the periodontal plaque and coronary atheromatous plaques for presence of P.gingivalis. SETTINGS AND DESIGN: A case control study was designed with 07 patients who had underwent coronary endarterectomy for CVD and 28 controls . The periodontal examination for cases was performed one day before vascular surgery and the controls were clinically examined. METHODS AND MATERIAL : The atheromatous plaque sample collected during endarterectomy and the Intraoral plaque samples were subjected to PCR for identification of P.gingivalis. The presence of periodontal bacteria DNA in coronary atheromatous plaques and subgingival plaque samples of the same patients was confirmed by this study. STATISTICAL ANALYSIS USED : Means and proportions for personal characters, major risk factors and clinical parameters were calculated for both the groups. The significance of any difference in means was tested by using "Students t test", and the significance of any difference in proportions was tested by using Dunn-Sidak Adjusted p Value. RESULTS : During the microbial analysis of plaque samples by PCR in group A it was seen that Porphyromonas gingivalis in 100 % of the samples.

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Evolution of Thoracoscopic-Laparoscopic Esophagectomy and Considerations

Pan

2018

Atlas of Thoracoscopic-Lapacoscopic Esophagectomy

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Coronary endarterectomy for diffuse extensive coronary artery disease

Abstract: Introduction: Atherosclerotic coronary artery disease is in an increasing trend in India. With the

Cited by 7 publications

References 17 publications

Effects of coronary endarterectomy on postoperative early results in long segment coronary artery disease

Effects of coronary endarterectomy on postoperative early results in long segment coronary artery disease

Porphyromonas Gingivalis in Coronary Atheroma and Subgingival Plaque – A Clinical and Microbiological Study

Evolution of Thoracoscopic-Laparoscopic Esophagectomy and Considerations

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