PMID- 12645708
OWN - NLM
STAT- MEDLINE
DCOM- 20030404
LR  - 20190628
IS  - 0003-4975 (Print)
IS  - 0003-4975 (Linking)
VI  - 75
IP  - 3
DP  - 2003 Mar
TI  - Coronary endarterectomy with off-pump coronary artery bypass surgery.
PG  - 865-9
AB  - BACKGROUND: The aim of this study is to review our experience in coronary artery 
      endarterectomy performed without cardiopulmonary bypass. METHODS: Between May 
      1998 and June 2000 off-pump coronary endarterectomy was performed on 11 patients 
      who had unstable angina pectoris. The mean ejection fraction (EF) was 26.3 +/- 
      4.4, and all of the patients were New York Heart Association (NYHA) III or IV. 
      Off-pump open left anterior descending (LAD) endarterectomy was performed on 7 
      patients, and closed endarterectomy of the right coronary artery (RCA) was done 
      on the remaining 4. RESULTS: There were no deaths. None of the procedures was 
      converted to on-pump operation; all the endarterectomies and bypasses were 
      performed on the beating heart. All patients were completely revascularized, the 
      left internal mammary artery was bypassed to the LAD in all operations, and all 
      other grafts were of saphenous vein. At the end of the first year all bypasses to 
      the endarterectomized arteries were patent. The overall patency rate was 95.6%. 
      The mean postoperative EF was 34.7 +/- 9.1, which was significantly higher than 
      the preoperative one (p < 0.05). At the end of the first year 9 patients were 
      NYHA I or II and all were angina free in Canadian Cardiovascular Society class 0 
      or I. CONCLUSIONS: Endarterectomy without cardiopulmonary bypass can be performed 
      in patients with severe left ventricular dysfunction who are expected to benefit 
      from the complete revascularization.
FAU - Eryilmaz, Sadik
AU  - Eryilmaz S
AD  - Department of Cardiovascular Surgery, Ankara University School of Medicine, 
      Ankara, Turkey. sadikeryilmaz@hotmail.com
FAU - Inan, Mustafa Bahadir
AU  - Inan MB
FAU - Eren, Neyyir Tuncay
AU  - Eren NT
FAU - Yazicioglu, Levent
AU  - Yazicioglu L
FAU - Corapcioglu, Tumer
AU  - Corapcioglu T
FAU - Akalin, Hakki
AU  - Akalin H
LA  - eng
PT  - Journal Article
PL  - Netherlands
TA  - Ann Thorac Surg
JT  - The Annals of thoracic surgery
JID - 15030100R
SB  - IM
MH  - Aged
MH  - Angina, Unstable/*surgery
MH  - *Cardiopulmonary Bypass
MH  - *Coronary Artery Bypass
MH  - *Endarterectomy
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Intra-Aortic Balloon Pumping
MH  - Male
MH  - Middle Aged
MH  - Myocardial Revascularization
MH  - Postoperative Complications/etiology
MH  - Veins/transplantation
MH  - Ventricular Dysfunction, Left/surgery
EDAT- 2003/03/21 04:00
MHDA- 2003/04/05 05:00
CRDT- 2003/03/21 04:00
PHST- 2003/03/21 04:00 [pubmed]
PHST- 2003/04/05 05:00 [medline]
PHST- 2003/03/21 04:00 [entrez]
AID - S0003-4975(02)04500-9 [pii]
AID - 10.1016/s0003-4975(02)04500-9 [doi]
PST - ppublish
SO  - Ann Thorac Surg. 2003 Mar;75(3):865-9. doi: 10.1016/s0003-4975(02)04500-9.