Abstract

Objective: To compare hospital outcome of patients undergoing on-pump coronary artery bypass graft (CABG) with and without coronary endarterectomy (CE).

Study Design: Observational study

Place and Duration of Study: Department of Cardiac Surgery, Faisalabad Institute of cardiology, Faisalabad.

Period: July 2018 to July 2020.

Methodology: Two hundred patients who underwent isolated coronary artery bypass graft surgery were included and stratified into two groups according to coronary endarterectomy(CE) performed. Group A have patients who underwent CABG + CE while Group B has patients with CABG alone. Postoperative myocardial infarction (MI), dysrhythmias, time on ventilator, ICU stay, hospital stay, and mortality were recorded and compared.

Results: There is statistically significant difference regarding ICU stay, hospital stay, dysrhythmia, and time on ventilator (p-value0.001) in group A as compared to group B in short term ICU scenarios but in terms of overall short term outcomes there is no significant difference

Conclusion: Coronary endarterectomies (CE) are acceptable in patients with diffuse coronary artery disease requiring complete revascularization in respect to short term survival when there is no choice for satisfactorily revascularization.

Keywords: Coronary endarterectomy, Coronary artery bypass grafting, Revascularization, Myocardial infarction, Mortality, Outcomes