[The place and role of coronary endarterectomy in the management of ischemic heart disease].
Coronary endarterectomy is one of the oldest operation performed on the coronary arteries. In the case of multivessel coronary artery disease it is an alternative method to achieve complete myocardial revascularisation however it increases both perioperative infarction rate and mortality. Sometimes it is undoubtedly the only chance of the patient apart from heart transplantation. Since 1983 when the first coronary endarterectomy was performed in the Cardiovascular Surgical Clinic of Semmelweis Medical University of Budapest, until the end of 1990 the procedure has been used in 97 patients on 119 coronary artery segments. A new surgical technique of coronary endarterectomy is described, a detailed analysis of the cases is presented and the results are discussed.
Papp
L
L
Semmelweis Orvostudományi Egyetem, Er- és Szívsebészeti Klinika, Budapest.
Kollár
A
A
D000714:Anastomosis, Surgical; D003327:Coronary Disease / Q000601:surgery*; D004691:Endarterectomy; D006801:Humans; D009204:Myocardial Revascularization; D013536:Suture Techniques
A coronaria endarteriectomia helye és szerepe az ischaemiás szívbetegség mütéti kezelésében.