2000
DOI: 10.1590/s0066-782x2000001000002
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Abstract: Objective -To determine the risk factors for mortality related to myocardial revascularization when performed in association with coronary endarterectomy. (<0.001; 9.283), female sex (0.01; 3.111), acute myocardial infarction (0.02; 3.546), ejection fraction <35% (<0.001; 5.89), and previous myocardial revascularization (<0.001; 4.295). Methods - Conclusion -Coronary endarterectomy is related to higher mortality, and the risk factors involved are important elements of a poor outcome.

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Cited by 15 publications
(50 citation statements)
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References 22 publications
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“…Furthermore, the observation that 28% of postoperative MIs within CE patients occurred in endarterectomized regions is consistent with results of other reported series 4,12,14 . In fact, perioperative MI remains a primary complication following coronary endarterectomy and is believed to be due to removal of the endothelial lining after performing endarterectomy, resulting in thrombosis 15 . For this reason, we employ dual antiplatelet therapy for all endarterectomy patients.…”
Section: Discussionsupporting
confidence: 86%
“…Furthermore, the observation that 28% of postoperative MIs within CE patients occurred in endarterectomized regions is consistent with results of other reported series 4,12,14 . In fact, perioperative MI remains a primary complication following coronary endarterectomy and is believed to be due to removal of the endothelial lining after performing endarterectomy, resulting in thrombosis 15 . For this reason, we employ dual antiplatelet therapy for all endarterectomy patients.…”
Section: Discussionsupporting
confidence: 86%
“…The cause for myocardial infarction following coronary endarterectomy is attributed to the lack of endothelium in the endarterectomised vessels leading to the thrombosis at the site of endarterectomy [20]. Exposure of subendothelial tissue to the bloodstream leads to the triggering of the coagulation cascade and thrombus formation.…”
Section: Perioperative Myocardial Infarctionmentioning
confidence: 99%
“…Despite the advancement of medical science, the morbidity and mortality following CE with CABG is more prominent than with CABG alone 26 . However, the consequences of the present review are not concordance with these discoveries 25 as in the both study group patients had a lower mortality in our review.In our review, at 1-year survival rate was 98.07% in only CABG group and 97.3% in CE with CABG group and also 90.08% and 88.7% survival rate at 5 years follow up respectively.Djalilian and Shumway reported higher incidence of mortality in patients who had preoperative myocardial infarction 14, 26 . In our review, there was a higher incidence of preoperative MI in patients who required CABG (73.59% in only CABG group and 72% in CE with CABG group), however, CE was not found to be independently associated with mortality in the analysis for the predictors of mortality.Moreover, this mortality was not an aftereffect of the CE, which is also stated by different authors 6,16 .…”
Section: Discussionmentioning
confidence: 97%