Multi-vessel endarterectomies to revascularize eight coronary artery branches
Mrithyunjay Kalmath1, Mahesh Ghogare2, Saurabh Tiwari3
1Department of Cardiothoracic and Vascular Surgery, Apollo Hospitals, Navi Mumbai, India.
Indian Journal of Thoracic and Cardiovascular Surgery
|November 24, 2025
Summary
Coronary endarterectomy (CE) is an adjunct to coronary artery bypass grafting (CABG) for diffuse coronary artery disease (CAD). This case demonstrates a safe technique for multiple CE, achieving revascularization in eight coronary branches.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
- Cardiac Surgery
Background:
- Coronary endarterectomy (CE) complements coronary artery bypass grafting (CABG) for complete revascularization in diffuse coronary artery disease (CAD).
- Widespread adoption of CE is limited by technical challenges and suboptimal outcomes from incomplete procedures.
- Increasingly complex coronary interventions for triple-vessel disease necessitate multiple CE for comprehensive revascularization.
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