[Off-pump coronary artery bypass with endarterectomy].
The diffusely diseased left anterior descending coronary artery (LAD) remains a challenge for both interventional cardiologists and cardiac surgeons. We assessed the surgical outcomes obtained from off-pump coronary artery reconstruction, with or without endarterectomy, for a diffusely diseased LAD. One hundred and eighteen patients were treated with an extended LAD reconstruction, with or without endarterectomy. The left internal thoracic artery (LITA) was used to reconstruct the LAD in all patients. Coronary artery reconstruction was performed without endarterectomy in 63 patients and with endarterectomy in 55 patients. The operative mortality was 0.8%. Perioperative myocardial infarction was observed in 14.4% of the patients. The mean LAD incision length was 5.6 +/- 1.4 cm. The patency rate of the LITA to LAD was 96.2% by early angiographic examination. Coronary artery reconstruction, with or without endarterectomy, using the LITA for a diffusely diseased LAD can be performed with acceptable results.
Takanashi
Shuichiro
S
Department of Cardiovascular Surgery, Sakakibara Heart Institute, Fuchu, Japan.
D047549:Coronary Artery Bypass, Off-Pump / Q000379:methods*; D004691:Endarterectomy; D006801:Humans; D016896:Treatment Outcome