Coronary Endarterectomy: Benefit or Detriment to Myocardial Revascularization?
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Keywords

Diffuse coronary artery disease, Coronary endarterectomy, Antiplatelet, Antithrombotic, Myocardial infarction

How to Cite

Álvarez, M. S., & Avallone, M. (2023). Coronary Endarterectomy: Benefit or Detriment to Myocardial Revascularization? Retrospective experience in 12 cases of diffuse coronary artery disease. Argentine Journal of Cardiovascular Surgery, 21(1), 13–18. Retrieved from https://raccv.com.ar/index.php/revistaraccv/article/view/63

Abstract

Cardiovascular disease is the leading cause of death worldwide. In the same sense,
coronary artery bypass graft (CABG) surgery is one of the most frequently performed
cardiac surgery procedures worldwide. In clinical practice, myocardial revascularization
can be followed by a procedure called endarterectomy to reinforce the sanitation of
the vessel with decreased flow and improved irrigation. However, there is sufficient
evidence in the medical literature that reports serious adverse events due to the
application of endarterectomy, the most feared complication being the perioperative
infarction itself, which is why it has fallen into disuse. This work aims to disseminate
our experience regarding coronary endarterectomy to be valued as an intervention
tool within a complex spectrum like diffuse coronary disease.

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