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CORONARY ENDARTERECTOMY AND PATCH ANGIOPLASTY FOR DIFFUSE CORONARY ARTERY DISEASE. A PROSPECTIVE ANALYSIS OF 22 CASES | ||
| Basrah Journal of Surgery | ||
| Article 7, Volume 25, Issue 2, 2019, Pages 47-53 PDF (245.78 K) | ||
| DOI: 10.33762/bsurg.2019.164514 | ||
| Authors | ||
| Shkar Saed* 1; Hisham H Hasan2; Abdulsalam Y Taha3 | ||
| 1Department of Surgery, College of Medicine, University of Al-Sulaymaniyah and Department of Cardiac Surgery | ||
| 2Department of Cardiac Surgery, Slemani Cardiac Hospital, Al-Sulaimaniyah | ||
| 3Department of Surgery, College of Medicine, University of Al-Sulaymaniyah, IRAQ. | ||
| Abstract | ||
| Diffusecoronaryarterydisease(CAD)isasurgicalchallengeinwhichconventionalcoronary arterybypassgrafting(CABG)maynotachieveadequatemyocardialrevascularizationunless adjuvantproceduressuchascoronaryendarterectomyandcoronarypatchangioplasty(CPA) areadded.Theaimofthisprospectivestudyistoevaluatetheoutcomeoftheseproceduresin ourinstitution in viewofthe relevantliterature. DataofallpatientswhounderwentCPA±CABGbyonesurgeoninourinstitution (n=22) betweenApril2018andApril2019werecollected.Patientsunderwentopencoronary endarterectomyandonlaypatchofleftinternalmammaryartery(LIMA)oravenouspatchunder cardiopulmonarybypass(CPB). Of167CABGprocedures,22werecombinedwithCPA.Therewere15(68.2%)males.Age rangedbetween43-72yearswithameanof59.patientsincluded19isolatedleftanterior descendingarteries(LADs),tworightcoronaryarteriesandoneobtusemarginalbranch.The CPBtimewas88-198minutesandtheaorticcrossclamptimewas40-125minutes.The patientshad(includingLAD)2-4vesseldiseases.TheaverageICUstaywas29±14hoursand meanhospitalstaywas5dayswithnocomplicationsapartfromatrialfibrillation(n=4,18.2%). Thefollow-upperiodrangedfrom4to14months.Onthe40thpostoperativeday,coronaryCT angiographyrevealedpatentgrafts.Nopatientdied duetoCAD. Inconclusion,coronaryendarterectomyandangioplastyisasafeandhighlyrewarding procedure in potentiallyinoperable patients with diffusecoronaryartery disease. Keywords:Coronaryarterydisease,endarterectomy,angioplasty,venous,patch,leftanterior descending, left internal mammaryartery. | ||
| Keywords | ||
| coronary artery disease; endarterectomy; angioplasty; venous; patch; left anterior descending; left internal mammary artery | ||
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