Open Coronary Endarterectomy of Left Anterior Descending Artery—Case Report and Review of Literature

Autor: Mircea Robu, Diana Romina Marian, Ecaterina Lazăr, Răzvan Radu, Cristian Boroș, Andra Sibișan, Cristian Voica, Marian Broască, Daniela Gheorghiță, Horațiu Moldovan, Vlad Anton Iliescu
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of Cardiovascular Development and Disease, Vol 9, Iss 3, p 83 (2022)
Druh dokumentu: article
ISSN: 2308-3425
DOI: 10.3390/jcdd9030083
Popis: Coronary endarterectomy (CE) emerged as a necessity to achieve complete surgical myocardial revascularization in patients with diffusely diseased coronary arteries and it also serves as aid to coronary bypass grafting (CABG). The safety and postoperative prognosis of this procedure are still matters of debate. There are no clear preoperative indications, a standard technique has not yet been established as gold standard and the postoperative management differs depending on each institution. CE of the left anterior descending artery (LAD) is technically challenging and potentially hazardous with high risk of postoperative myocardial infarction. In this article, we describe the open technique for CE of the LAD with its specific details, which we believe could be the safest and the best reproductible option. To better understand the profile of a patient requiring such a procedure we present the case of a 73-years old male with diffused coronary artery disease (CAD) and a short review of literature.
Databáze: Directory of Open Access Journals