Early and midterm results of Coronary Artery Bypass Grafting (CABG) in conjunction with the endarterectomy of Left Anterior Descending (LAD) Coronary Artery

Aim: to review the early and mid term results of endartrectomy performed in conjunction with coronary artery bypass surgery on patients with diffuse coronary artery disease. method: the data of all patients undergoing open heart surgery at rawalpindi institute of cardiology (ric) was retrieved from our cardiac surgery database. the patients who underwent coronary endarterectomy as adjunct to cabg by single one team of surgeons (n=76) between march 2013 to january were identified. these were 76 patients out of whom 41 patients underwent endarterectomy of lad.further analysis was done on these 41 patients which included men and women. all continuous variables were expressed as mean±sd. categorical variables were expressed as numbers and percentages. results: a total of 47 vessels underwent endarterectomies. these included 35 isloated lads,three lads in combination of rcas and three lads in combination of obtuse marginal branches. the cardiopulmonary bypass time was 130.95+5.76 min and the aortic cross clamp time was min. average number of grafts were 2.77+0.87. the average icu stay was 29.02+13.99 hours and mean hospital stay was 7.55+3.29 days. two patient died within 30 days of surgery. one death was due to multiple organ failure and one due to peri-operative myocardial infarction. there was no death in the follow-up period which ranged from 5 to 24 months. conclusion: we conclude that lad endarterectomy is a safe and highly rewarding procedure in potentially inoperable patients.