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ORIGINAL ARTICLE

Hospital Outcome of Coronary Artery Bypass Grafting and Coronary Endarterectomy

Abdul R Abid, FCPS (CARD), Ajwad Farogh, MBBS1, Mumraiz S Naqshband, MBChB2, Raja P Akhtar, FRCS1, Jawad S Khan, FRCS1

Department of Cardiology
1 Department of Cardiac Surgery
2 Department of Research and CME, Punjab Institute of Cardiology, Lahore, Pakistan

Abdul Rehman Abid, FCPS (CARD) Tel: +92 3336105574 Fax: +92 429200028 Email: drarehman{at}gmail.com, Room 1–4 A, Doctor’s Hostel, Punjab Institute of Cardiology, Lahore, Pakistan.

ABSTRACT

To compare hospital mortality and postoperative complications in patients with severe coronary artery disease undergoing coronary artery bypass grafting with or without coronary endarterectomy, 100 consecutive patients were divided into 2 groups of 50 patients each. Group 1 had coronary endarterectomy, and group 2 had no coronary endarterectomy. There were 87 men and 13 women, with a mean age of 54.79 ±7.8 years; 48% had stable angina. The right coronary artery was endarterectomized in 22 patients, the left anterior descending artery in 21, and the left circumflex in 7. There were no significant differences in outcomes. There was 1 hospital death in each group. Perioperative myocardial infarction occurred in 2 patients in group 1 and 1 in group 2. Endarterectomy is a suitable option to achieve complete revascularization in patients with refractory angina and severe diffuse disease.

Key Words: Coronary Artery Bypass • Coronary Artery Disease • Endarterectomy • Hospital Mortality • Myocardial Infarction

Asian Cardiovasc Thorac Ann 2009; 17:59-63
© 2009 by SAGE Publications
DOI: 10.1177/0218492309102609




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