Coronary endarterectomy is an important adjuvant procedure in CABG for diffusely diseased vessels, supported by current evidence particularly in off-pump and valvular procedures.
May inform endarterectomy decisions in off-pump or valvular CABG; leaves open need for randomized confirmation.
Coronary Endarterectomy (CE) assures complete revascularization of the myocardium in case of diffusely diseased vessels and prevents residual ischemia. Recently cardiac surgeons are performing increasing number of coronary endarterectomy and it has evolved as an important adjuvant procedure in Coronary Artery Bypass Grafting (CABG). There are controversies regarding the efficiency of CE. CE is criticised for its higher rates of morbidity and mortality. At present the available evidence supports CE in Off Pump Coronary Artery Bypass surgery (OPCAB) and along with valvular procedures. Graft patency is better with open technique. Postoperative anticoagulation regimen though not uniform, the overall outcome remains the same. Therefore, it is important to focus on the current results to accept CE as a routine procedure like CABG.
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Ravi Ghatanatti (2017) studied this question.
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