A Single Centre Experience With Coronary Endarterectomy in Patients Undergoing Off-Pump Coronary Artery Bypass Grafting

BACKGROUND Artery Bypass Grafting (CABG) is one of the most frequently done cardiac surgical procedures. However, with the in catheter-based interventional procedures, the category of patients taken up for CABG is gradually being to more high-risk group. Additional surgical procedures like Coronary Endarterectomy (CE) are needed for treating high-risk coronary artery disease to achieve complete revascularisation. Off-pump coronary endarterectomy can be safely with morbidity and mortality comparable with those of conventional coronary endarterectomy. AND METHODS is a single institutional retrospective study with 480 patients underwent concomitant off-pump CE and CABG. Average of coronary bypass grafts were 2.4±0.8. There were 321 cases of LAD endarterectomy with 246 receiving LIMA as the graft. 2.9% patients were converted to on-pump surgery intraoperatively because of intraoperative hypotension. incidence of postoperative MI was 0.8%. The 30-day mortality was 0.8% from complications of bowel ischaemia and three with septicaemia associated with prolonged intubation. The mean operating time was 118±22 minutes. have shown that the effect of OPCABG with CE appears to be safe and early outcomes are encouraging. Hence, diffuse requiring endarterectomy should not be considered a contraindication to OPCABG. Surgical skills and the suitability of the patients are very important in this regard.