NDLI: Early and late outcomes of multiple coronary endarterectomy.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Tabata, Minoru Shekar, Prem S. Couper, Gregory S. Aranki, Sary F.
Description	Country affiliation: United States Author Affiliation: Tabata M ( Division of Cardiac Surgery, Brigham and Women's Hospital, Boston, Massachusetts, USA.)
Abstract	OBJECTIVES: Coronary endarterectomy has been shown to be an effective adjunctive technique of revascularization for diffuse coronary artery disease. However, outcomes of multiple coronary endarterectomy (MCE) have not been well investigated. We sought to examine early and late results of this technique. METHODS: Between January 1992 and June 2006, 58 consecutive patients underwent coronary endarterectomy in more than one coronary artery territories, representing 6.5% of total coronary endarterectomy during the same period. Early and late outcomes were retrospectively analyzed. RESULTS: The mean age was 64 years. Forty-one patients (70.7%) had coronary endarterectomy in the left anterior descending artery and right coronary artery territories; five (8.6%) in the left anterior descending artery and circumflex artery territories; eight (13.8%) in the circumflex artery and right coronary artery territories; and four (6.9%) in the left anterior descending artery, circumflex artery, and right coronary artery territories. Operative mortality was 12.1% (7/58). The incidence of perioperative myocardial infarction was 25.9% (15/58). The median length of hospital stay was seven days. Actuarial five- and 10-year survivals were 64% and 36%, respectively. CONCLUSIONS: MCE may be a reasonable option for revascularization of multiple diffuse coronary artery disease. However, early and late outcomes are relatively poor and the indication should be carefully considered.
File Format	HTM / HTML
ISSN	08860440
Issue Number	6
Volume Number	23
e-ISSN	15408191
Journal	Journal of Cardiac Surgery
Language	English
Publisher	Wiley
Publisher Date	2008-11-01
Publisher Place	United States
Access Restriction	Subscribed
Subject Keyword	Discipline Cardiology Discipline Surgery Coronary Artery Disease Surgery Coronary Vessels Endarterectomy Statistics & Numerical Data Adult Aged Aged, 80 And Over Cardiopulmonary Bypass Cohort Studies Mortality Pathology Female Humans Incidence Male Middle Aged Myocardial Revascularization Retrospective Studies Sternum Time Factors Treatment Outcome Journal Article
Content Type	Text
Resource Type	Article
Subject	Pulmonary and Respiratory Medicine Surgery Cardiology and Cardiovascular Medicine

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