Abstract
Objective: The coronary endarterectomy combined with coronary artery bypass grafting (CABG) is an effective and well-accepted surgical strategy in diffuse coronary artery disease. This study aimed to analyze the early and mid-term results of the patients who underwent coronary endarterectomy combined with CABG.Material and Methods: This retrospective study was conducted between January 2012 and December 2014. A total of 24 patients who underwent coronary endarterectomy combined with CABG (Group-1) and also 84 patients who underwent isolated CABG (Group-2) were investigated. Results: The early mortality was similar in both groups (Group-1: 4.2%, Group-2: 4.8%; P=1.000). The aortic cross-clamping time (ACCT) and total perfusion time (TPT) in the Group-1 were longer than those in the Group-2 (ACCT: 108.75 min vs. 82.89 min; P=0.001; TPT: 157.44 min vs. 107.18 min; P= 0.001, respectively. Duration of intensive care unit was longer for the Group-1 than that for the Group-2 (7.21 days vs. 4.13 days; P=0.013, respectively). At the end of the follow-up time (Group-1: 38.96±3.61 vs. Group-2: 44.42±1.54 months), the cumulative survival rates including hospital mortality were similar between the two groups (Group-1: 79.2±8.3% vs. Group-2 77.4±7.2%, p=0.350). Conclusion: The coronary endarterectomy is an effective method in early and midterm results and outcomes. Open coronary endarterectomy with long arteriotomy should be applied to obtain complete revascularization in diffuse and calcified coronary disease in proper indication.
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