Coronary Endarterectomy In Diffuse Coronary Artery Disease

ISBN-13: 9783330347793 / Angielski / Miękka / 2017 / 52 str.

Redoy Ranjan; Asit Baran Adhikary

Opis

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!

O autorze

Dr. Redoy Ranjan graduated with MBBS from Dhaka University in 2009 and did MS in CV&TS from Bangabandhu Sheikh Mujib Medical University, Bangladesh on Jan 2017. He also hold MRCS from Royal College of surgeons, UK since 2016.Now he is working in Dept. of Cardiac Surgery at BSMMU, Bangladesh and performs adult cardiac surgery including CABG & ICR.