PMID: 6975607Nov 1, 1981Paper

Manual coronary endarterectomy with saphenous bypass: experience with 263 patients

The Annals of Thoracic Surgery
E WallshS H Stertzer

Abstract

From January, 1972, until August, 1980, 271 manual coronary endarterectomies with bypass were performed in 263 patients. All patients underwent additional cardiac procedures simultaneously. The group contained 254 distal right and 17 left endarterectomies (including 8 double endarterectomies). Clinical follow-up was 100%, operative mortality was 2.3% (6 out of 263), and the rate of perioperative infarction was 4.9% (13 out of 263). Cineangiography was performed on 72 patients between 1 and 60 months after operation (mean, 15.4 months). Patency was 85% (61 out of 72). Endarterectomy in a dominant right coronary artery could be planned electively. Left coronary endarterectomy was performed only when diffuse disease prevented standard bypass. Coronary endarterectomy may be used to extend operability with excellent clinical results, low perioperative mortality, and high late patency. Careful attention to technical aspects of core removal and myocardial protection are necessary for consistent results.

References

Jul 1, 1972·The Annals of Thoracic Surgery·H C UrschelD L Paulson

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Citations

Dec 1, 1995·The Annals of Thoracic Surgery·A R Djalilian, S J Shumway
May 13, 1999·The Annals of Thoracic Surgery·G AsimakopoulosC P Ratnatunga
May 9, 2014·General Thoracic and Cardiovascular Surgery·Kosaku NishigawaShuichiro Takanashi
Sep 1, 1988·The Annals of Thoracic Surgery·N ShapiraG M Lemole
Jun 1, 1984·International Journal of Cardiology·E Wallsh, G S Weinstein
Apr 17, 2016·Atherosclerosis·Antonio StavrouGeorgios Dimitrakakis
Nov 1, 1987·The American Journal of Cardiology·M P LarockP Rigo
Mar 29, 2014·Journal of cardiology·Nikolaos A PapakonstantinouEfstratios Apostolakis
Mar 19, 1999·Journal of Sex & Marital Therapy·M M ter KuileM van Egmond
Jan 1, 1987·Scandinavian Journal of Thoracic and Cardiovascular Surgery·C A MestresM Murtra
Jan 1, 1989·Scandinavian Journal of Thoracic and Cardiovascular Surgery·T IvertC Landou

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