[Coronary endarterectomy experience in myocardial revascularization]

Area of Science:

• Cardiovascular Surgery
• Interventional Cardiology
• Vascular Surgery

Context:

• Coronary endarterectomy removes atheroma plaques from coronary arteries.
• The procedure has a reported worldwide incidence ranging from 3.7% to 42%.
• This study presents 10 years of experience with coronary endarterectomy at a single hospital.

Purpose:

• To evaluate the outcomes and risk factors associated with coronary endarterectomy.
• To analyze perioperative complications and hospital stay duration.
• To assess the impact of coronary endarterectomy on patient morbidity and mortality.

Summary:

• A cross-sectional study reviewed 486 patient records undergoing myocardial revascularization between 2003 and 2013.
• Ninety-seven patients were included, with a mean age of 62 years; 79.4% were male.
• Key findings include high rates of hypertension (75.2%) and diabetes (61.8%), with significant left main coronary disease (35%) and depressed left ventricular ejection (58.5%).
• Perioperative myocardial infarction occurred in 3.09%, reoperation for bleeding in 5.15%, and mediastinitis in 2.06%.

Impact:

• Coronary endarterectomy is linked to increased morbidity, consistent with existing literature.
• A notable increase in mortality was observed in patients with intermediate and high EuroSCORE risk.
• The findings suggest a need to reconsider the application of coronary endarterectomy in high-risk patient populations.