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首页> 外文期刊>Journal of cardiac surgery. >Closed endarterectomy for diffuse right coronary artery disease: early results with angiographic controls.
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Closed endarterectomy for diffuse right coronary artery disease: early results with angiographic controls.

机译：弥漫性右冠状动脉疾病的封闭内膜切除术：采用血管造影术的早期结果。

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摘要

BACKGROUND: Due to reported high morbidity and mortality, surgeons tend not to endarterectomize the diffusely diseased right coronary artery. Most prefer not to bypass this artery in such situation. We compared the endarterectomized right coronary patients with patients having total occlusion of right coronary artery not needing endarterectomy who received right coronary artery (RCA) bypass. MATERIAL AND METHODS: Between August 1998 and May 2000, 1226 patients had coronary artery bypass grafting (CABG) at Alkan Hospital, of whom 59 had right coronary artery endarterectomy (REC) along with RCA bypass with saphenous vein graft. We compared the results of 59 RCE patients with 50 patients who underwent RCA bypass without RCE. RESULTS: Compared with the control group, the RCE group had a higher incidence of diabetes. There were no statistically significant differences between groups for mortality and morbidity. Among postoperative variables only the cross-clamp time was longer for the RCE group (33.5 +/- 10min vs. 27.3 +/- 8 min, p < 0.05). Surviving patients were followed for a mean period of 7 +/- 5 months. No recurrence of angina occurred during the follow-up. Control angiography at the sixth month was performed on 42 RCE patients accepting the procedure, and all grafts were found patent. CONCLUSION: Endarterectomy for diffusely atherosclerotic right coronary artery for selected patients did not bring additional mortality and morbidity to the CABG procedure, and short term clinical and angiographic results were excellent.
机译：摘要背景：由于报道的高发病率和高死亡率，外科医生往往不会在直肠内广泛扩散病变的右冠状动脉。最喜欢在这种情况下不要绕过这条动脉。我们将接受了右冠状动脉（RCA）旁路手术的右内膜切除的右冠状动脉患者与不需要内膜切除术的右冠状动脉完全闭塞的患者进行了比较。材料与方法：在1998年8月至2000年5月之间，有1226例患者在Alkan医院接受了冠状动脉搭桥术（CABG），其中59例进行了右冠状动脉内膜切除术（REC）以及大隐静脉移植的RCA搭桥术。我们比较了59例RCE患者和50例未经RCE进行RCA旁路术的患者的结果。结果：与对照组相比，RCE组的糖尿病发生率更高。两组之间的死亡率和发病率没有统计学上的显着差异。在术后变量中，仅RCE组的交叉钳夹时间更长（33.5 +/- 10min vs. 27.3 +/- 8 min，p <0.05）。存活的患者平均随访7 +/- 5个月。随访期间无心绞痛复发。在接受该手术的42例RCE患者中进行了第六个月的对照血管造影，发现所有移植物均已获得专利。结论：部分患者右动脉冠状动脉弥漫性动脉内膜切除术未给CABG手术带来额外的死亡率和发病率，并且短期临床和血管造影结果均良好。

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