Coronary endarterectomy: New flavors from old recipes

Abstract Coronary endarterectomy is an old surgical procedure against coronary artery disease first described by Baily et al. in 1957. Despite its first adverse results, several current publications have shown that coronary endarterectomy with on-pump or off-pump coronary artery bypass grafting can...

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Bibliographic Details
Published in:Journal of cardiology 2014-06, Vol.63 (6), p.397-401
Main Authors: Papakonstantinou, Nikolaos A., MD, Baikoussis, Nikolaos G., MD, PhD, Apostolakis, Efstratios, MD, PhD
Format: Article
Language:English
Subjects:
Anticoagulants - administration & dosage
Cardiovascular
Complete revascularization
Coronary Artery Bypass - methods
Coronary Artery Bypass, Off-Pump
Coronary Artery Disease - physiopathology
Coronary Artery Disease - surgery
Coronary endarterectomy
Coronary Vessels - physiopathology
Coronary Vessels - surgery
Diffuse coronary artery disease
Diffuse coronary calcification
Endarterectomy - methods
Heparin - administration & dosage
Humans
Postoperative Care
Residual ischemia
Safety
Vascular Patency
Warfarin - administration & dosage
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Summary:Abstract Coronary endarterectomy is an old surgical procedure against coronary artery disease first described by Baily et al. in 1957. Despite its first adverse results, several current publications have shown that coronary endarterectomy with on-pump or off-pump coronary artery bypass grafting can be safely performed with acceptable mortality, morbidity, and angiographic patency rates. Coronary endarterectomy can assure complete revascularization supplying the myocardium with satisfactory blood flow in cases of a diffusely diseased left anterior descending artery or diffuse calcification, thus preventing residual ischemia. Hence, it is important to evaluate current results, rethink this old recipe, and redefine its indications.
ISSN:0914-5087
1876-4738
DOI:10.1016/j.jjcc.2014.02.005