Results of Coronary Artery Endarterectomy and Coronary Artery Bypass Grafting for Diffuse Coronary Artery Disease

Comparison of Isolated Coronary Artery Bypass Grafting with Open Coronary Endarterectomy Followed by Coronary Artery Revascularization

“…In literature; higher percentage of left ventricular dysfunctions in patients with endarterectomy as seen in our study or similar ventricular functions in patients with or without endarterectomy have been reported. 1,3,7,9,10 Although the patients with left ventricle dysfunction was higher in the Group-1, low mortality rates were seen in both groups. As taken into consider the high percentage of women patients and diabetes for both groups, which were well-known two preoperative risk factors, this result is thought to be related to the myocardial protection provided by the application of retrograde blood cardioplegia besides the effectiveness of endarterectomy.…”

“…Use of both close and open endarterectomy technique in the same series successfully has been demonstrated. 6,7 Open endarterectomy is more timeconsuming and may require more experience. Moreover, the obstructive plaque can be removed almost entirely by long-segment anastomosis.…”

“…In the literature the early mortality rates after coronary endarterectomy has been reported as 2.8-6%, which is similar to the present study results. [1][2][3][4][5][6][7]9 Open endarterectomy and long-segment anastomosis were preferred in all cases of the Group-1. Use of both close and open endarterectomy technique in the same series successfully has been demonstrated.…”

“…8 This situation is more prominent in patients who have undergone coronary endarterectomy combined with CABG. 7 Diabetes mellitus (DM), chronic kidney disease (CKD), and peripheral artery disease are seen more frequently in the patients who have undergone coronary endarterectomy combined with CABG than in the ones who have undergone isolated CABG. 7 As more risky patients reffers to surgery, the percentage of the patients performed coronary endarterectomy combined with CABG has increased.…”

“…7 Diabetes mellitus (DM), chronic kidney disease (CKD), and peripheral artery disease are seen more frequently in the patients who have undergone coronary endarterectomy combined with CABG than in the ones who have undergone isolated CABG. 7 As more risky patients reffers to surgery, the percentage of the patients performed coronary endarterectomy combined with CABG has increased. 5 This study retrospectively compared outcomes in early postoperative and mid-term survival of patients who underwent isolated CABG and endarterectomy combined with CABG for 3 years.…”