HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Wallsh, E. Articles by Stertzer, S. H. Search for Related Content PubMed PubMed Citation Articles by Wallsh, E. Articles by Stertzer, S. H.

The Annals of Thoracic Surgery, Vol 32, 451-457, Copyright © 1981 by The Society of Thoracic Surgeons

ARTICLES

Manual coronary endarterectomy with saphenous bypass: experience with 263 patients

E Wallsh, AJ Franzone, RH Clauss, C Armellini, F Steichen and SH Stertzer

From January, 1972, until August, 1980, 271 manual coronary endarterectomies with bypass were performed in 263 patients. All patients underwent additional cardiac procedures simultaneously. The group contained 254 distal right and 17 left endarterectomies (including 8 double endarterectomies). Clinical follow-up was 100%, operative mortality was 2.3% (6 out of 263), and the rate of perioperative infarction was 4.9% (13 out of 263). Cineangiography was performed on 72 patients between 1 and 60 months after operation (mean, 15.4 months). Patency was 85% (61 out of 72). Endarterectomy in a dominant right coronary artery could be planned electively. Left coronary endarterectomy was performed only when diffuse disease prevented standard bypass. Coronary endarterectomy may be used to extend operability with excellent clinical results, low perioperative mortality, and high late patency. Careful attention to technical aspects of core removal and myocardial protection are necessary for consistent results.

This article has been cited by other articles:

				H. A. Vohra, R. Kanwar, T. Khan, and W. R. Dimitri Early and late outcome after off-pump coronary artery bypass graft surgery with coronary endarterectomy: a single-center 10-year experience. Ann. Thorac. Surg., May 1, 2006; 81(5): 1691 - 1696. [Abstract] [Full Text] [PDF]

				G. Asimakopoulos, K. M. Taylor, and C. P. Ratnatunga Outcome of coronary endarterectomy: a case-control study Ann. Thorac. Surg., April 1, 1999; 67(4): 989 - 993. [Abstract] [Full Text] [PDF]

				A. R. Djalilian and S. J. Shumway Adjunctive Coronary Endarterectomy: Improved Safety in Modern Cardiac Surgery Ann. Thorac. Surg., December 1, 1995; 60(6): 1749 - 1754. [Abstract] [Full Text]