https://doi.org/10.4081/itjm.2024.1734

Complete revascularization in coronary artery bypass grafting with coronary artery endarterectomy: updated findings from Vietnam

Vol. 18 No. 2 (2024)
Published: 24 May 2024
Endarterectomy, complete revascularization, coronary artery bypass grafting, coronary stenoses
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Authors

Huu Cong Nguyen
bacsyhuu@gmail.com
Cardiovascular Center, E Hospital, Hanoi; University of Medicine and Pharmacy, Vietnam National University, Hanoi, Viet Nam.
Hung Quoc Doan
Department of Cardiovascular and Thoracic Surgery, Viet Duc University Hospital, Hanoi; Department of Surgery, Hanoi Medical University, Hanoi, Viet Nam.
Linh Hai T. Ngo
https://orcid.org/0000-0002-4058-0412
Faculty of Medicine, the University of Queensland, Brisbane; The Prince Charles Hospital, Brisbane, QLD, Australia.
Uoc Huu Nguyen
https://orcid.org/0000-0002-6981-9837
Department of Cardiovascular and Thoracic Surgery, Viet Duc University Hospital, Hanoi; Department of Surgery, Hanoi Medical University, Hanoi, Viet Nam.
Long Hoang Vo
Cardiovascular Center, E Hospital, Hanoi; Department of Science, Technology, Communication & International Cooperation, E Hospital, Hanoi, Viet Nam.
Thanh Ngoc Le
Cardiovascular Center, E Hospital, Hanoi; University of Medicine and Pharmacy, Vietnam National University, Hanoi, Viet Nam.

We examined the technique and early outcomes of coronary artery bypass graft surgery (CABG) with endarterectomy. In 2023, the single-center database identified 24 severe coronary disease patients undergoing CABG with coronary artery endarterectomy. The patients were in a selected cohort with a minimum of three grafts for the three main vessels. Patients’ mean age was 63.8 years. The mean number of grafts was 4.3. A coronary endarterectomy (CE) was performed on the right coronary artery in 45.8% of patients, the left anterior descending artery in 29.1%, the circumflex artery in 16.6%, and the diagonal artery in 29.1%. Aortic cross-clamp took 147.2 minutes, perfusion 180.9 minutes, mechanical ventilation 18.9 hours, and intensive care unit stay 4.8 days. Our in-hospital mortality rate was 8.3% with no technical complications. To achieve complete revascularization in patients with extensive coronary artery disease, CE should be considered an acceptable adjunct to CABG.

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How to Cite

Nguyen, H. C., Doan, H. Q., Ngo, L. H. T., Nguyen, U. H., Vo, L. H., & Le, T. N. (2024). Complete revascularization in coronary artery bypass grafting with coronary artery endarterectomy: updated findings from Vietnam. Italian Journal of Medicine, 18(2). https://doi.org/10.4081/itjm.2024.1734
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