Coronary Endarterectomy In Diffuse Coronary Artery Disease

Total myocardial revascularisation is the basic principle for postoperative outcomes following coronary revascularisation surgery. Now-a-days, referred patients for CABG frequently have diffuse and calcified coronary artery disease (CAD), which has made complete surgical revascularisation more difficult and more complicated postoperative recovery. Inadequate revascularisation does not influence the quick death rate, but rather increase the rate of coronary re-stenosis; which adversely affect the long term cardiac function and also causes repeated attach of angina. That's why, coronary endarterectomy have been proposed to improve postoperative outcome following coronary revascularisation surgery in the late 1950s. Though Coronary endarterectomy is still a matter of controversy; but our study shows Coronary endarterectomy is attainable and accomplishes total myocardial revascularisation in a patient with diffuse coronary artery disease; when there is no other alternative for sufficient myocardial revascularisation. However, coronary endarterectomy is not an alternative, but an adjunctive to CABG. So, lets think about Coronary Endarterectomy in treating diffuse CAD with new HOPE!