Yıl 2020, Cilt 6 , Sayı 3, Sayfalar 187 - 192 2020-05-04

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

Endarterectomy, bypass surgery, coronary artery
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Birincil Dil en
Konular Cerrahi, Kalp ve Kalp Damar Sistemi
Bölüm Original Article
Yazarlar

Orcid: 0000-0003-1072-1269
Yazar: Orhan GÜVENÇ
Kurum: Department of Cardiovascular Surgery, Ağrı State Hospital, Ağrı, Turkey
Ülke: Turkey


Orcid: 0000-0002-3666-8673
Yazar: Mehmet Tuğrul GÖNCÜ (Sorumlu Yazar)
Kurum: Department of Cardiovasculer Surgery, University of Health Sciences, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey
Ülke: Turkey


Orcid: 0000-0003-2418-5823
Yazar: Mesut ENGİN
Kurum: Department of Cardiovasculer Surgery, University of Health Sciences, Şanlıurfa Mehmet Akif İnan Training and Research Hospital, Şanlıurfa, Turkey
Ülke: Turkey


Orcid: 0000-0002-9938-8599
Yazar: Mustafa Çağdaş ÇAYIR
Kurum: Department of Cardiovasculer Surgery, Pamukkale University School of Medicine, Denizli, Turkey
Ülke: Turkey


Orcid: 0000-0001-8642-5664
Yazar: Ahmet Fatih ÖZYAZICIOĞLU
Kurum: Department of Cardiovasculer Surgery, University of Health Sciences, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Turkey
Ülke: Turkey


Tarihler

Yayımlanma Tarihi : 4 Mayıs 2020

EndNote %0 The European Research Journal Effects of coronary endarterectomy on postoperative early results in long segment coronary artery disease %A Orhan GÜVENÇ , Mehmet Tuğrul GÖNCÜ , Mesut ENGİN , Mustafa Çağdaş ÇAYIR , Ahmet Fatih ÖZYAZICIOĞLU %T Effects of coronary endarterectomy on postoperative early results in long segment coronary artery disease %D 2020 %J The European Research Journal %P -2149-3189 %V 6 %N 3 %R doi: 10.18621/eurj.486547 %U 10.18621/eurj.486547