Outcome of Coronary Endarterectomy with CABG in Patients with Diffuse Coronary Artery Disease in Bangladesh

Redoy Ranjan

Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh

Date, time and location: 2018.05.26 17:00, Congress Hall, 2F–B

Abstract

Background: In this study, we aimed to review the consequences of coronary endarterectomy (CE) with coronary artery bypass grafting (CABG), and assess outcomes of this surgical technique for patients with diffuse coronary artery disease (CAD) in a single surgeon’s practice.

Methods: We retrospectively reviewed outcome of 1198 endarterectomized coronary artery in 1000 patients with diffuse CAD, who have had experienced CE with off pump CABG (OPCABG) in between 2009 and 2016.

Results: The mean age was 61.5±5.5 years. Coronary endarterectomy was performed on 74.7% in the left coronary territory (43.2% LAD, 26.6% Diagonal, 4.9% OM), and 25.3% in the right coronary territory. Post-operative intensive care unit (ICU) mortality rate was 1.9%, and there were 11 (1.1%) late deaths. Mean ICU stay was 36.6±6.7 hours. Patients were extubated following a mean of 9.8±1.25 hours. The mean duration of hospital stay was 10±1 days.One-year survival rate was 97.8% and 89.5% survival rate was at 5 years follow up. However,91.8% of patients were angina free at median follow-up of 2.5 years.

Conclusion: Coronary endarterectomy with OPCABG is attainable and accomplishes surgical revascularization in patients when there is no other alternative for sufficient revascularization.