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Robu M, Marian DR, Lazăr E, Radu R, Boroș C, Sibișan A, Voica C, Broască M, Gheorghiță D, Moldovan H, Iliescu VA. Open Coronary Endarterectomy of Left Anterior Descending Artery—Case Report and Review of Literature. J Cardiovasc Dev Dis 2022; 9:jcdd9030083. [PMID: 35323631 PMCID: PMC8954667 DOI: 10.3390/jcdd9030083] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Revised: 03/09/2022] [Accepted: 03/11/2022] [Indexed: 11/30/2022] Open
Abstract
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.
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Affiliation(s)
- Mircea Robu
- Department of Cardiovascular Surgery, Prof. Dr. C.C.Iliescu Emergency Institute for Cardiovascular Diseases, 022328 Bucharest, Romania; (M.R.); (D.R.M.); (E.L.); (V.A.I.)
| | - Diana Romina Marian
- Department of Cardiovascular Surgery, Prof. Dr. C.C.Iliescu Emergency Institute for Cardiovascular Diseases, 022328 Bucharest, Romania; (M.R.); (D.R.M.); (E.L.); (V.A.I.)
| | - Ecaterina Lazăr
- Department of Cardiovascular Surgery, Prof. Dr. C.C.Iliescu Emergency Institute for Cardiovascular Diseases, 022328 Bucharest, Romania; (M.R.); (D.R.M.); (E.L.); (V.A.I.)
| | - Răzvan Radu
- Cardiology Department, Prof. Dr. C.C.Iliescu Emergency Institute for Cardiovascular Diseases, 022328 Bucharest, Romania;
| | - Cristian Boroș
- Anesthesia and Intensive Care Department, Prof. Dr. C.C.Iliescu Emergency Institute for Cardiovascular Diseases, 022328 Bucharest, Romania;
| | - Andra Sibișan
- Department of Cardiovascular Surgery, Clinical Emergency Hospital Bucharest, 014461 Bucharest, Romania; (A.S.); (C.V.); (M.B.)
| | - Cristian Voica
- Department of Cardiovascular Surgery, Clinical Emergency Hospital Bucharest, 014461 Bucharest, Romania; (A.S.); (C.V.); (M.B.)
| | - Marian Broască
- Department of Cardiovascular Surgery, Clinical Emergency Hospital Bucharest, 014461 Bucharest, Romania; (A.S.); (C.V.); (M.B.)
| | - Daniela Gheorghiță
- Faculty of Materials Science and Engineering, Politehnica University of Bucharest, 060042 Bucharest, Romania;
| | - Horațiu Moldovan
- Department of Cardiovascular Surgery, Clinical Emergency Hospital Bucharest, 014461 Bucharest, Romania; (A.S.); (C.V.); (M.B.)
- Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania
- Correspondence:
| | - Vlad Anton Iliescu
- Department of Cardiovascular Surgery, Prof. Dr. C.C.Iliescu Emergency Institute for Cardiovascular Diseases, 022328 Bucharest, Romania; (M.R.); (D.R.M.); (E.L.); (V.A.I.)
- Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania
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