Why the study?
Does coronary artery bypass grafting with coronary endarterectomy improve early mortality and symptoms in patients with severe coronary artery disease?
Does coronary artery bypass grafting with coronary endarterectomy improve early mortality and symptoms in patients with severe coronary artery disease?
CABG with coronary endarterectomy offers a valuable surgical option with acceptable early outcomes for patients with end-stage CAD who cannot otherwise achieve complete revascularization.
May support endarterectomy in select diffuse CAD; leaves open randomized confirmation of long-term benefit.
Early results of coronary endarterectomy are acceptable with respect to mortality, NYHA & CCS. This technique offers a valuable surgical option for patients with endstage coronary artery disease in whom complete revascularization otherwise can not be obtained. Careful patient selection will be necessary to assure the long-term benefit of this procedure.
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Schmitto et al. (2009) studied this question.
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