title: Coronary endarterectomy: The current state of knowledge.
abstract: Coronary artery endarterectomy (CE) is a procedure performed adjunctive to coronary artery bypass grafting in patients with diffuse coronary artery disease (CAD). This review was conducted in order to assess the safety of the procedure, the associated complications as well as short- and long-term patient outcomes. A literature search was performed via Pubmed, and 50 articles were included in the review based on our inclusion and exclusion criteria. The mortality and morbidity rates were found to be acceptable in a highly selected group of patients. Therefore, CE may have an important role to play in the surgical management of patients with complicated CAD and should be incorporated to the armamentarium of the cardiologist and the cardiac surgeon following careful consideration by a multi-disciplinary approach.
authors.affiliation: School of Medicine, Cardiff University, University Hospital of Wales, Heath Park Campus, Cardiff, CF 14 4XW, United Kingdom. Electronic address: gkiousiasv@cardiff.ac.uk.
authors.forename: Antonio
authors.initials: A
authors.lastname: Stavrou
authors.affiliation: School of Medicine, Cardiff University, University Hospital of Wales, Heath Park Campus, Cardiff, CF 14 4XW, United Kingdom.
authors.forename: Vasileios
authors.initials: V
authors.lastname: Gkiousias
authors.affiliation: Department of General Surgery, North Bristol NHS Trust, Southmead Hospital, Bristol BS10 5NB, United Kingdom.
authors.forename: Katerina
authors.initials: K
authors.lastname: Kyprianou
authors.affiliation: Department of Cardiology, Metropolitan Hospital of Athens, Faliro 18547, Greece.
authors.forename: Inentzi A
authors.initials: IA
authors.lastname: Dimitrakaki
authors.affiliation: Department of Respiratory Medicine, Gloucestershire Royal Hospital, Gloucester GL1 3NN, United Kingdom.
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Challoumas
authors.affiliation: Department of Cardiothoracic Surgery, University Hospital of Wales, Heath Park Campus, Cardiff CF 14 4XW, United Kingdom.
authors.forename: Georgios
authors.initials: G
authors.lastname: Dimitrakakis
mesh_terms: D000368:Aged; D000789:Angina, Unstable / Q000601:surgery; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000401:mortality / Q000601:surgery*; D003331:Coronary Vessels / Q000601:surgery*; D004691:Endarterectomy / Q000379:methods*; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome
keywords: Cardiac surgery; Coronary artery bypass surgery; Coronary artery disease; Coronary endarterectomy; Heart team; Percutaneous coronary endarterectomy