Early postoperative results of on-pump coronary endarterectomy: is it still a controversy?

Objectives: The coronary endarterectomy combined with artery bypass grafting (CABG) is an useful but still controversial surgical technique in diffuse disease. aim of this study was to analyze the operative and early postoperative outcomes patients who underwent CABG without endarterectomy. Methods: This retrospective included a total 312 consequtive undergoing on-pump from December 2018 2020 Department Cardiovascular Surgery, Bursa Yüksek İhtisas Training Research Hospital. Patients were divided into 2 groups as those (Group 1, n = 48) isolated 2, 264). Peroperative variables obtained our hospital's computerized database retrospectively analyzed. Results: Previous percutaneus intervention rate number diabetes mellitus significantly higher group. demographics characteristics similar between two groups. median distal anastomoses 4 (2-5) Group 1 (1-5) 2. Median cross-clamp duration perfusion times longer than (82 min vs. 63 min; p < 0.001 120 95 0.003, respectively). A 54 practices performed on 48 patients, LAD (73%) most endarterectomized vessel. In 24 hours high-sensitive troponin I levels (p 0.001). There no significant difference terms mortality, low cardiac output rates perioperative myocardial infarction rates. Postoperative atrial fibrillation 0.023). Conclusions: Although complex procedure, disease, it essential sometimes mandotary method order achieve complete revacularization can be safely acceptable outcomes.