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Ten-Year Experience of Coronary Endarterectomy for the Diffusely Diseased Left Anterior Descending Artery

Sunday, March 5, 2017

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Source

Source Name: Annals of Thoracic Surgery

Author(s)

Kosaku Nishigawa, Toshihiro Fukui, Masataka Yamazaki, Shuichiro Takanashi

The authors describe a 10-year experience with extended arteriotomy for endarterectomy of a diffusely diseased LAD, using an internal mammary artery for reconstruction.  Perioperative mortality was 1.1% and postoperative MI occurred in 9%.  Survival at 5 years was 89% and freedom from acute cardiovascular events was 74%.

Comments

This is an excellent result on a very difficult procedure done off-pump, in majority. I shall congratulate the Sakakibara group for their operative skill, and, superb postoperative managements.

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