[Coronary endarterectomy and bypass grafting without cardiopulmonary bypass].
We prospectively analyzed patients who underwent simultaneous off-pump coronary artery bypass grafting and endarterectomy between March 1, 1997 and February 28, 2002. The incidence of perioperative myocardial infarction, need for inotropic support, morbidity, long-time functional class, and mortality were evaluated. Nine endarterectomies were performed in eight patients, more frequently in the right coronary artery. Dopamine was used in four patients. One perioperative myocardial infarction (12.5%) occurred. No deaths occurred and all patients are now functional class I. Tests for ischemia have been negative in all patients.Coronary endarterectomy is an alternative procedure that has little morbidity and enables complete myocardial revascularization without cardiopulmonary bypass.
División de Cirugía Cardiotorácica. Hospital de Cardiología. Centro Médico Nacional Siglo XXI. IMSS. México. D.F. México. gcareaga3@aol.com
Guillermo
G
Careaga Reyna
David
D
Salazar Garrido
Sergio
S
Téllez Luna
Rubén
R
Argüero Sánchez
D000328:Adult; D000368:Aged; D006348:Cardiac Surgical Procedures / Q000401:mortality; D001026:Coronary Artery Bypass; D003331:Coronary Vessels / Q000601:surgery*; D004691:Endarterectomy / Q000401:mortality; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000453:epidemiology; D009204:Myocardial Revascularization; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies