Key result
Reconstruction without endarterectomy provides an effective revascularization alternative for diffuse CAD.
Why the study?
Diffusely diseased coronary arteries present challenges for complete revascularization, prompting more surgeons to perform reconstructive procedures without endarterectomy.
Answers are grounded in this paper and cite their sources.
This review summarizes the evolving techniques and outcomes of reconstructive coronary surgery without endarterectomy for achieving full revascularization in patients with diffuse coronary atherosclerosis.
Steady growth of patients with diffuse coronary atherosclerosis is a challenge for cardiac surgeons and intervention cardiologists for achieving a full revascularization of myocardium. Considering results of an endarterectomy, more and more surgeons perform reconstructive procedures on coronary arteries without removal the atheromatous plaques. In the literature review various versions of the surgical equipment, perioperative techniques and results of extended segmental plastic surgeries are discussed regarding the patients with diffuse coronary atherosclerosis. The purpose of the present work consists in highlighting changes in reconstructive procedures technique.
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Белаш et al. (2019) conducted a review in Diffuse coronary atherosclerosis. Reconstructive surgery without endarterectomy vs. Endarterectomy was evaluated.
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