Coronary Endarterectomy with Beating Heart in Patients with Diffuse Atheromatous Coronary Artery Disease and Poor Ventricular Function: Early and Midterm Results

Abstract

The results of this study show increased operative mortality and morbidity in patients requiring coronary artery endarterectomy. However, the early results and particularly the midterm survival rates, clinical status, and continued graft patency justify off-pump coronary artery endarterectomy in patients with severely depressed left ventricular function and diffuse coronary artery disease. Many of these patients have disease that would otherwise be inoperable.

Early and mid-term results of coronary endarterectomy: Influence of cardiopulmonary bypass and surgical techniques

“…ONCAB-CE -on-pump coronary artery bypass coronary endarectomy; OPCAB-CE -off-pump coronary artery bypass coronary endarectomy; MI -myocardial infarction and added myocardial protection techniques, and no PMI were observed in this study. The achievement of OPCAB with good results has encouraged surgeons to perform endarterectomy on beating hearts, and recent studies on OPCAB-CE showed favorable outcomes [15][16][17]. In these studies, OPCAB-CE was feasible and could be performed in patients with LV dysfunction who were expected to benefit from complete revascularization.…”

Coronary Endarterectomy on Beating Heart: Is It Worth Doing?

“…The experience of using endarterectomy on beating heart is limited. Only a few cases have been reported 9–14 . Nevertheless, encouraging results were obtained.…”

Delayed Presentation of Low Molecular Weight Heparin Treatment Failure in a Patient With Mitral Valve Prosthesis

“…Only a few cases have been reported. [9][10][11][12][13][14] Nevertheless, encouraging results were obtained. Naseri and Arsan 9 performed 10 endarterectomies on 7 patients using both closed and open endarterectomy.…”