Coronary Endarterectomy for Diffuse Coronary Artery Disease: From a Controversial Procedure to a Strategy for Complete Surgical Revascularization
DOI:
https://doi.org/10.48047/k7q8sx67Keywords:
Coronary endarterectomy; Coronary artery bypass grafting; Diffuse coronary artery disease; Complete myocardial revascularization.Abstract
Background: Diffuse coronary artery disease (CAD) remains one of the greatest challenges in surgical coronary revascularization because severe, long-segment atherosclerotic involvement frequently precludes conventional distal bypass grafting and limits the achievement of complete myocardial revascularization. Coronary endarterectomy (CE), originally introduced before the widespread adoption of coronary artery bypass grafting (CABG), was historically associated with increased perioperative morbidity and mortality, leading to decadesof controversy regarding its routine use. However, advances in myocardial protection, surgical techniques
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References
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Effler DB, Groves LK, Sones FM Jr, Shirey EK. Endarterectomy in the treatment of coronary artery disease. J Thorac Cardiovasc Surg. 1964;47:98-108.
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