Coronary Endarterectomy, is it a Rescue Procedure?

Aim: To prove that coronary endarterectomy is a safe and beneficial procedure. Introduction: Coronary endarterectomy is an adjunctive procedure done in diffuse coronary artery disease patients. Long term outcomes are not clear despite many studies. Statistical analysis: Continuous data were expressed as mean ± standard deviation or median with categorical data as percentages. All reported P values are two-sided, and P values of < 0.05 were considered to indicate statistical significance Materials: 54 patients were included in this retrospective study over 5 years, short term outcome over 3 month was analysed, with mortality (1.85%) which is near to National Adult Cardiac surgery audit NACSA (2018-2019) results of (1.32%). Experienced surgeons are needed to perform this procedure, knowing the risks of graft failure and bleeding. Conclusion: Coronary endarterectomy appears to be safe, offering no additional mortality and provide symptom free results over short term assessment especially when done to culprit lesions which otherwise will not be operable.