esults of Coronary Artery Endarterectomy and oronary Artery Bypass Grafting for Diffuse oronary Artery Disease

a t t c t Background. Coronary artery endarterectomy with cornary artery bypass grafting for diffuse coronary artery isease has been associated with increased morbidity nd mortality. We evaluated our institutional experience o redefine the role of coronary endarterectomy for difuse coronary artery disease. Methods. From 1985 to 2002 isolated coronary artery ndarterectomy with coronary artery bypass grafting was erformed in 1,478 consecutive patients. The short-term utcomes were compared with concurrent series of conentional coronary artery bypass graft surgery, and risk actors for adverse outcomes after coronary endarterecomy were identified. Results. Patients in the coronary endarterectomy group ere of higher risk with increased incidence of comoridities and three-vessel coronary disease. The operative ortality (3.2% versus control 2.2%; p 0.03) and the ncidence of major postoperative morbidity (not signifiant) were comparable between the groups. Prolonged