| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1995;60:1749-1754
© 1995 The Society of Thoracic Surgeons
Division of Cardiovascular and Thoracic Surgery, University of Minnesota, Minneapolis, Minnesota
Accepted for publication August 5, 1995.
Background. Advances in cardiac surgery have led to an improved safety record for coronary endarterectomy.
Methods. We retrospectively reviewed the cases of 64 patients who underwent adjunctive coronary endarterectomy between August 1988 and February 1992. There were 44 men, and the mean age was 65 years. Forty-one patients (64%) had sustained a previous infarction. Overall, endarterectomy was performed on 76 vessels, and the right coronary system was involved in 46 (61%).
Results. The postoperative infarction rate was 5%. Incomplete occlusion (<90% stenosis) of the endarterectomized vessel significantly increased the risk of infarction (p < 0.05). There were two early deaths (3%). The mean follow-up was 46 months. Clinically, 91% of the survivors were angina free, and 80% had no symptoms of heart failure at the time of follow-up. Left ventricular function had improved in 36% of those restudied (5/14). A total of 17 recatheterizations were done at a mean interval of 19 months after operation. The endarterectomy graft patency rate was 80% (16/20) compared with 78% (28/36) for conventional grafts (p = not significant). The actuarial survival rates were 89% and 71% at 1 year and 5 years, respectively. A history of previous infarction was significantly associated with higher long-term mortality (p < 0.02).
Conclusions. Overall, these results demonstrate that in modern cardiac surgery, coronary endarterectomy is safer than previously thought and can be used effectively to achieve complete revascularization in selected patients.
This article has been cited by other articles:
|
|
 |
|
  B. Yilmazkaya, R. Circi, U. P. Circi, S. Gurkahraman, M. A. Yukselen, O. Z. Yondem, and O. Tasdemir Surgical Approaches in Left Anterior Descending Artery In-Stent Stenosis Ann. Thorac. Surg., May 1, 2008; 85(5): 1586 - 1590. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. Gongora and T. M. Sundt III Myocardial Revascularization with Cardiopulmonary Bypass Card. Surg. Adult, January 1, 2008; 3(2008): 599 - 632. [Full Text]
|
|
|
|
|
|
T. N. Ogus, M. Basaran, O. Selimoglu, T. Yildirim, H. Ogus, H. Ozcan, and M. H. Us Long-Term Results of the Left Anterior Descending Coronary Artery Reconstruction With Left Internal Thoracic Artery Ann. Thorac. Surg., February 1, 2007; 83(2): 496 - 501. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. Nurozler, T. Kutlu, G. Kucuk, and C. Okten Off-Pump Coronary Endarterectomy in High-Risk Patients Asian Cardiovasc Thorac Ann, June 1, 2006; 14(3): 227 - 230. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
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]
|
|
|
|
|
|
S. Sirivella, I. Gielchinsky, and V. Parsonnet Results of Coronary Artery Endarterectomy and Coronary Artery Bypass Grafting for Diffuse Coronary Artery Disease Ann. Thorac. Surg., November 1, 2005; 80(5): 1738 - 1744. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Tiruvoipati, M. Loubani, M. Lencioni, S. Ghosh, P. W. Jones, and R. L. Patel Coronary Endarterectomy: Impact on Morbidity and Mortality When Combined With Coronary Artery Bypass Surgery Ann. Thorac. Surg., June 1, 2005; 79(6): 1999 - 2003. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Nishi, S. Miyamoto, S. Takanashi, H. Minamimura, T. Ishikawa, Y. Kato, and Y. Shimizu Optimal Method of Coronary Endarterectomy for Diffusely Diseased Coronary Arteries Ann. Thorac. Surg., March 1, 2005; 79(3): 846 - 852. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. G. Byrne, A. N. Karavas, T. Gudbjartson, M. Leacche, J. D. Rawn, G. S. Couper, R. J. Rizzo, L. H. Cohn, and S. F. Aranki Left anterior descending coronary endarterectomy: Early and late results in 196 consecutive patients Ann. Thorac. Surg., September 1, 2004; 78(3): 867 - 873. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Marinelli, B. Chiappini, M. Di Eusanio, R. Di Bartolomeo, I. Caldarera, C. Marrozzini, A. Marzocchi, and A. Pierangeli Bypass grafting with coronary endarterectomy: Immediate and long-term results J. Thorac. Cardiovasc. Surg., September 1, 2002; 124(3): 553 - 560. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
U. Hake and H. Oelert Outcome of coronary endarterectomy Ann. Thorac. Surg., March 1, 2000; 69(3): 977 - 977. [Full Text] [PDF]
|
|
|
|
|
|
O. M. Shapira, G. Akopian, A. Hussain, M. Adelstein, H. L. Lazar, G. S. Aldea, and R. J. Shemin Improved clinical outcomes in patients undergoing coronary artery bypass grafting with coronary endarterectomy Ann. Thorac. Surg., December 1, 1999; 68(6): 2273 - 2278. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. M. Walley, J.-F. Marquis, and W. J. Keon Successful surgical endarterectomy of a stented coronary artery Ann. Thorac. Surg., December 1, 1999; 68(6): 2346 - 2349. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. M. Sundt III, C. J. Camillo, E. N. Mendeloff, H. B. Barner, and W. A. Gay Jr Reappraisal of coronary endarterectomy for the treatment of diffuse coronary artery disease Ann. Thorac. Surg., October 1, 1999; 68(4): 1272 - 1277. [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]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
