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

Year 2020, Volume: 6 Issue: 3, 187 - 192, 04.05.2020

Orhan Güvenç Mehmet Tuğrul Göncü , Mesut Engin , Mustafa Çağdaş Çayır , Ahmet Fatih Özyazıcıoğlu

https://doi.org/10.18621/eurj.486547

Cited By: 7

Abstract

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. 

Keywords

Endarterectomy, bypass surgery, coronary artery

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