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Fırat University Medical Journal of Health Sciences
2020, Cilt 34, Sayı 2, Sayfa(lar) 175-182
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Effects of Coronary Endarterectomy on Postoperative Early Morbidity and Mortality in Diffuse Coronary Artery Disease
Özgü ÖZCAN1, Sadiye Deniz ÖZSOY1, Mehmet Ali YEŞİLTAŞ2, Ayhan UYSAL3, İsmail HABERAL1
1İstanbul Üniversitesi, Cerrahpaşa, Kardiyoloji Enstitüsü, Kalp ve Damar Cerrahisi Anabilim Dalı, İstanbul, TÜRKİYE
2Sağlık Bilimleri Üniversitesi, Dr.Sadi Konuk Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Anabilim Dalı, İstanbul, TÜRKİYE
3Fırat Üniversitesi, Tıp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalı, Elazığ, TÜRKİYE
Keywords: Endarterectomy, coronary bypass surgery

Objective: The main goal in coronary artery bypass surgery is to provide complete revascularization. However, in some patients; Due to diffuse atherosclerosis in the coronary artery, it is not possible to find an anastomosis location and coronary endarterectomy is inevitable. In this study, the effect of endarterectomy on postoperative early mortality and morbidity was aimed to reveal by comparing the group of patients who were bypassed after coronary endarterectomy and the group just underwent coronary artery bypass surgery.

Materials and Methods: Between January 2000 and December 2016, patients without additional cardiac disease and not undergoing additional surgical procedures were studied. Perioperative and postoperative data of 103 patients who underwent coronary endarterectomy and 104 patients without coronary endarterectomy were retrospectively scanned, and the data of the study group and the control group were compared with statistical methods.

Results: Patients undergoing coronary endarterectomy; 72.8% were male, 27.2% were female, and the average age was 57.83±10.06. Mortality rate was detected as 4.9% in the endarterectomy group; (n: 5) and as 2.9% in our control group. Perioperative MI rate in the endarterectomy group; was 2.9%, while no perioperative MI was observed in the control group. Dual antiaggregant therapy was used in the entire postoperative endarterectomy group. Intra-aortic balloon pump use in endarterectomy group; (n: 9) was 8.7%, while it was 1 % in the control group; (n: 1) which was statistically significant (P: 0.009).

Conclusion: In order to ensure complete revascularization; we think that coronary endarterectomy procedure can be performed with acceptable results together with adequate antiaggregant treatment.


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