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Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.

2021, Número 1

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Cir Card Mex 2021; 6 (1)


Coronary endarterectomy in the left anterior descending artery in patients with low ejection fraction index: a single-center experience

Rendón-Elías FG, de la Cerda-Belmont GA, Anaya-Medina G, Salas-Ríos CM, Hernández-Sánchez M, Gómez-Danés LH

Idioma: Ingles.
Referencias bibliográficas: 60
Paginas: 10-17
Archivo PDF: 229.98 Kb.


RESUMEN

Introducción. La endarterectomía coronaria es un antiguo procedimiento quirúrgico descrito por primera vez por Baily y cols. en 1957 y aunque no es una técnica quirúrgica ideal, es la única opción para los cirujanos cardíacos en pacientes con enfermedad coronaria difusa. Generalmente, la arteria descendente anterior (DA) es la arteria más comúnmente afectada donde está indicada la endarterectomía. El propósito de este estudio es presentar nuestra experiencia de endarterectomía de la DA en pacientes con fracción de eyección baja en los últimos 10 años y revisar la literatura médica. Material. En total se estudiaron 42 casos de endarterectomía coronaria de DA en pacientes con baja fracción de eyección desde enero de 2008 hasta febrero de 2020. Es un estudio retrospectivo y observacional. Resultados. La edad media de los pacientes fue de 55 años (36-78 años), el 58% eran varones y el índice medio de fracción de eyección fue 35 ± 7 (rango: 23- 45). Además, se documentaron antecedentes de infarto de miocardio en 23 (54.76%) pacientes y el 60% tenía más de un factor de riesgo cardíaco. La mortalidad hospitalaria fue del 0% y no hubo ningún infarto de miocardio postoperatorio. Conclusiones. La endarterectomía coronaria con bomba utilizando la técnica abierta y el injerto de parche de colocación utilizando la arteria torácica interna para una DA con enfermedad difusa proporciona un resultado clínico satisfactorio, siendo una opción razonable con resultados aceptables a mediano plazo, sin olvidar que el régimen antiplaquetario posoperatorio tiene un efecto clínico satisfactorio, papel clave en la mejoría de los resultados clínicos y la permeabilidad del injerto.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Garcia S, Sandoval Y, Roukoz H, et al. Outcomes after complete versus incompleterevascularization of patients with multivessel coronary artery disease: ameta-analysis of 89,883 patients enrolled in randomized clinical trials and observationalstudies. J Am Coll Cardiol. 2013;62(16):1421-31. doi: 10.1016/j.jacc.2013.05.033.

  2. Lawrie GM, Morris Jr GC, Silvers A, et al. The influence of residual disease aftercoronary bypass on the 5-year survival rate of 1274 men with coronary arterydisease. Circulation. 1982;66(4):717-23. doi: 10.1161/01.cir.66.4.717.

  3. Jones EL, Craver JM, Guyton RA, Bone DK, Hatcher CR Jr, Riechwald N. Importanceof complete revascularization in performance of the coronary bypass operation.Am J Cardiol. 1983;51(1):7-12. doi: 10.1016/s0002-9149(83)80003-4.

  4. Santini F, Casali G, Lusini M, et al. Mid-term results after extensive vein patchreconstruction and internal mammary grafting of the diffusely diseased left anteriordescending coronary artery. Eur J Cardiothorac Surg. 2002;21(6):1020-5. doi:10.1016/s1010-7940(02)00074-x.

  5. Takanashi S, Fukui T, Miyamoto Y. Coronary endarterectomy in the left anteriordescending artery. J Cardiol. 2008;52(3):261-8. doi: 10.1016/j.jjcc.2008.09.006.

  6. Elbardissi AW, Balaguer JM, Byrne JG, Aranki SA. Surgical therapy for complexcoronary artery disease. Semin Thorac Cardiovasc Surg 2009; 21:199–206. doi.org/10.1053/j.semtcvs.2009.08.006

  7. Filsoufi F, Rahmanian PB, Castillo JG, Chikwe J, Adams DH. Excellent resultsof contemporary coronary artery bypass grafting with systematic application ofmodern perioperative strategies. Heart Surg Forum. 2007;10(5):E349-56. doi:10.1532/HSF98.20071067.

  8. Sousa-Uva M, Neumann F-J, Ahlsson A, et al. ESC Scientific Document Group.2018 ESC/EACTS Guidelines on myocardial revascularization. Eur J CardiothoracSurg 2019;55(1):4-90. doi.org/10.1093/ejcts/ezy289.

  9. Stirrup J, Velasco A, Hage FG, Reyes E. Comparison of ESC and ACC/AHAguidelines for myocardial revascularization. J Nucl Cardiol. 2017;24(3):1046-

  10. 1053. doi: 10.1007/s12350-017-0811-5.10. Trehan N, Mishra A. Endarterectomy complex coronary reconstructions. In: BuxtonB, Frazier OH, Westaby S (eds). Ischemic Heart Disease Surgical Management.New York, NY: Mosby, 1999, 221–8.

  11. Edmunds LH Jr, Clark RE, Cohn LH, Grunkemeier GL, Miller DC, Weisel RD.Guidelines for reporting morbidity and mortality after cardiac valvular operations.Eur J Cardiothorac Surg. 1996;10(9):812-6. doi: 10.1016/s1010-7940(96)80347-2.

  12. Tiruvoipati R, Loubani M, Peek G. Coronary endarterectomy in the current era. CurrOpin Cardiol. 2005;20(6):517-20. doi: 10.1097/01.hco.0000182834.03402.43.

  13. Takanashi S, Fukui T, Miyamoto Y. Coronary endarterectomy in the left anteriordescending artery. J Cardiol. 2008;52(3):261-8. doi: 10.1016/j.jjcc.2008.09.006.

  14. Nishi H, Miyamoto S, Takanashi S, et al. Optimal method of coronary endarterectomyfor diffusely diseased coronary arteries. Ann Thorac Surg. 2005;79(3):846-52; discussion 852-3. doi: 10.1016/j.athoracsur.2004.06.070.

  15. Harrer J, Zácek P, Lonský V, et al. Contribution to technique of endarterectomy ofthe right coronary artery. Acta Medica (Hradec Kralove). 1996;39(4):155-8.

  16. Engelman DT, Ben Ali W, Williams JB, et al. Guidelines for Perioperative Care inCardiac Surgery: Enhanced Recovery After Surgery Society Recommendations.JAMA Surg. 2019;154(8):755-766. doi: 10.1001/jamasurg.2019.1153.

  17. Levine GN, Bates ER, Bittl JA, et al. 2016 ACC/AHA Guideline Focused Updateon Duration of Dual Antiplatelet Therapy in Patients With Coronary ArteryDisease: A Report of the American College of Cardiology/American Heart AssociationTask Force on Clinical Practice Guidelines: An Update of the 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention, 2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery, 2012 ACC/AHA/ACP/AATS/PCNA/SCAI/STS Guideline for the Diagnosis and Management ofPatients With Stable Ischemic Heart Disease, 2013 ACCF/AHA Guideline for theManagement of ST-Elevation Myocardial Infarction, 2014 AHA/ACC Guidelinefor the Management of Patients With Non-ST-Elevation Acute Coronary Syndromes,and 2014 ACC/AHA Guideline on Perioperative Cardiovascular Evaluationand Management of Patients Undergoing Noncardiac Surgery. Circulation.2016;134(10):e123-55. doi: 10.1161/CIR.0000000000000404.

  18. Cohn LH. Cardiac Surgery in the Adult. New York: McGraw-Hill Education,2008, 616–21.

  19. Baily CP, May A, Lemmon WM. Survival after coronary endarterectomy in man.J Am Med Assoc. 1957;164(6):641-6. doi: 10.1001/jama.1957.02980060017005.

  20. Wallsh E, Franzone AJ, Clauss RH, Armellini C, Steichen F, Stertzer SH. Manualcoronary endarterectomy with saphenous bypass: experience with 263 patients.Ann Thorac Surg 1981; 32(5):451–7. doi.org/10.1016/S0003-4975(10)61776-6.

  21. Groves LK, Loop FD, Silver GM. Endarterectomy as a supplement to coronary artery-saphenous vein bypass surgery. J Thorac Cardiovasc Surg. 1972; 64(4):514–

  22. 22.22. Cheanvechai C, Groves LK, Reyes EA, Shirey EK, Sones Jr FM. Manual coronaryendarterectomy: clinical experience in 315 patients. J Thorac CardiovascSurg 1975(3); 70:524–8.

  23. LivesayJJ, CooleyDA, HallmanGL, et al. Early and late results of coronary endarterectomy:analysis of 3,369 patients. J Thorac Cardiovasc Surg 1986; 92(4):649–60.

  24. Parsonnet V, Gilbert L, Gielchinsky I, Ehaktan EK. Endarterectomy of the left anteriordescending and mainstem coronary arteries: a technique for reconstructionof inoperable arteries. Surgery 1976; 80(6):662–73.

  25. Görnandt L, Hahn C. Endarteriectomy of the left coronary artery (LCA) as a supplementarysurgical means of myocardial revascularization with aortocoronaryvein bypass procedure. Thorac Cardiovasc Surg. 1980 Aug;28(4):280-4. doi:10.1055/s-2007-1022096.

  26. QureshiSA, HalimMA, PillaiR, SmithP, YacoubMH. Endarterectomy of the leftcoronary system: analysis of a 10-year experience. J Thorac Cardiovasc Surg1985; 89(6):852–9. doi.org/10.1016/S0022-5223(19)38692-1.

  27. Schmitto JD, Kolat P, Ortmann P, et al. Early results of coronary artery bypassgrafting with coronary endarterectomy for severe coronary artery disease. J CardiothoracSurg. 2009;4:52. doi: 10.1186/1749-8090-4-52.

  28. Naseri E, Sevinc M, Erk MK. Comparison of off-pump and conventional coronaryendarterectomy. Heart Surg Forum 2003; 6(4):216–9.

  29. Byrne JG, Karavas AN, Gudbjartson T, et al. Left anterior descending coronaryendarterectomy: early and late results in 196 consecutive patients. AnnThorac Surg. 2004;78(3):867-73; discussion 873-4. doi: 10.1016/j.athoracsur.2004.03.046.

  30. Eryilmaz S, Inan MB, Eren NT, Yazicioglu L, Corapcioglu T, Akalin H. Coronaryendarterectomy with off-pump coronary artery bypass surgery. Ann Thorac Surg2003; 75(3):865–9. doi.org/10.1016/S0003-4975(02)04500-9.

  31. Vohra HA, Kanwar R, Khan T, Dimitri WR. Early and late outcome after off-pumpcoronary artery bypass graft surgery with coronary endarterectomy: a single-center10-year experience. Ann Thorac Surg. 2006;81(5):1691-6. doi: 10.1016/j.athoracsur.2005.12.028.

  32. Marinelli G, Chiappini B, Di Eusanio M, et al. Bypass grafting with coronaryendarterectomy: immediate and long-term results. J Thorac Cardiovasc Surg2002;124(3): 553–60. doi:10.1067/mtc.2002.124670.

  33. Sirivella S, Gielchinsky I, Parsonnet V. Results of coronary artery endarterectomyand coronary artery bypass grafting for diffuse coronary artery disease. Ann ThoracSurg 2005(5); 80:1738–44. doi:10.1016/j.athoracsur.2005.05.034

  34. Schwann TA, Zacharias A, Riordan CJ, Durham SJ, Shah AS, Habib RH. Survivaland graft patency after coronary artery bypass grafting with coronary endarterectomy:role of arterial versus vein conduits. Ann Thorac Surg 2007; 84(1):25–31.doi:10.1016/j.athoracsur.2007.02.053.

  35. Timorian M, Amiri M, Alimi A. Coronary endarterectomy improve left ventricleejection fraction after coronary artery bypass grafting surgery. International Journal of Cardiovascular and Thoracic Surgery 2019; 5(2):41-46. doi: 10.11648/j.ijcts.20190502.13.

  36. Nishigawa K, Fukui T, Takanashi S. Coronary endarterectomy for the diffuselydiseased coronary artery. Gen Thorac Cardiovasc Surg. 2014;62(8):461-7. doi:10.1007/s11748-014-0414-x.

  37. Shapira N, Lumia FJ, Gottdiener JS, Germon P, Lemole GM. Adjunct endarterectomyof the left anterior descending coronary artery. Ann Thorac Surg.1988;46(3):289-96. doi: 10.1016/s0003-4975(10)65927-9.

  38. Shapira OM, Akopian G, Hussain A, et al. Improved clinical outcomes in patientsundergoing coronary artery bypass grafting with coronary endarterectomy. AnnThorac Surg. 1999;68(6):2273-8. doi: 10.1016/s0003-4975(99)01050-4.

  39. Effler DB. Myocardial revascularization: a 14-year overview of theCleveland Clinic experience. JAMA 1976; 235(8):828–32. doi:10.1001/jama.1976.03260340034018.

  40. Bezon E. Coronary artery reconstruction: optimal technique of coronary endarterectomy.Ann Thorac Surg. 2006;82(6):2341-2; author reply 2342. doi: 10.1016/j.athoracsur.2006.04.006.

  41. Tiruvoipati R, Loubani M, Lencioni M, Ghosh S, Jones PW, Patel RL. Coronaryendarterectomy: impact on morbidity and mortality when combined with coronaryartery bypass surgery. Ann Thorac Surg. 2005;79(6):1999-2003. doi: 10.1016/j.athoracsur.2004.12.041.

  42. Ferraris VA, Harrah JD, Moritz DM, Striz M, Striz D, Ferraris SP. Long- termangiographic results of coronary endarterectomy. Ann Thorac Surg 2000;69(6):1737–43. doi: 10.1016/S0003-4975(00)01293-5.

  43. Djalilian AR, Shumway SJ. Adjunctive coronary endarterectomy: improvedsafety in modern cardiac surgery. Ann Thorac Surg. 1995;60(6):1749-54. doi:10.1016/0003-4975(95)00810-1.

  44. Taşdemir O, Kiziltepe U, Karagöz HY, Yamak B, Korkmaz S, Bayazit K. Longtermresults of reconstructions of the left anterior descending coronary artery indiffuse atherosclerotic lesions. J Thorac Cardiovasc Surg. 1996;112(3):745-54.doi: 10.1016/S0022-5223(96)70061-2.

  45. Sundt TM 3rd, Camillo CJ, Mendeloff EN, Barner HB, Gay WA Jr. Reappraisal ofcoronary endarterectomy for the treatment of diffuse coronary artery disease. AnnThorac Surg. 1999;68(4):1272-7. doi: 10.1016/s0003-4975(99)00693-1.

  46. Walley VM, Byard RW, Keon WJ. A study of the sequential morphologic changesafter manual coronary endarterectomy. J Thorac Cardiovasc Surg 1991;102:890–4.

  47. Fukui T, Tabata M, Taguri M, Manabe S, Morita S, Takanashi S. Extensive reconstructionof the left anterior descending coronary artery with an internal thoracicartery graft. Ann Thorac Surg. 2011;91(2):445-51. doi: 10.1016/j.athoracsur.2010.10.002.

  48. Takahashi M, Gohil S, Tong B, Lento P, Filsoufi F, Reddy RC. Early and mid-termresults of off-pump endarterectomy of the left anterior descending artery. InteractCardiovasc Thorac Surg. 2013;16(3):301-5. doi: 10.1093/icvts/ivs482.

  49. Stavrou A, Gkiousias V, Kyprianou K, Dimitrakaki IA, Challoumas D, DimitrakakisG. Coronary endarterectomy: The current state of knowledge. Atherosclerosis.2016;249:88-98. doi: 10.1016/j.atherosclerosis.2016.03.036.

  50. Mills NE. Coronary endarterectomy: surgical techniques for patients with extensivedistal atherosclerotic coronary disease. Adv Cardiac Surg 1998; 10:197–227.

  51. Gill IS, Beanlands DS, Boyd WD, Finlay S, Keon WJ. Left anterior descendingendarterectomy and internal thoracic artery bypass for diffuse coronary disease.Ann Thorac Surg. 1998;65(3):659-62. doi: 10.1016/s0003-4975(97)01301-5

  52. Beretta L, Lemma M, Vanelli P, et al. Coronary "open" endarterectomy and reconstruction:short- and long-term results of the revascularization with saphenousvein versus IMA-graft. Eur J Cardiothorac Surg. 1992;6(7):382-6; discussion 387.doi: 10.1016/1010-7940(92)90177-y.

  53. Ivert T, Welti R, Forssell G, Landou C. Coronary endarterectomy--angiographicand clinical results. Scand J Thorac Cardiovasc Surg. 1989;23(2):95-102. doi:10.3109/14017438909105976.

  54. Vohra HA, Kanwar R, Khan T, Dimitri WR. Early and late outcome after off-pumpcoronary artery bypass graft surgery with coronary endarterectomy: a single-center10-year experience. Ann Thorac Surg. 2006;81(5):1691-6. doi: 10.1016/j.athoracsur.2005.12.028.

  55. Christakis GT, Rao V, Fremes SE, Chen E, Naylor CD, Goldman BS. Does coronaryendarterectomy adversely affect the results of bypass surgery? J Card Surg.1993;8(1):72-8. doi: 10.1111/j.1540-8191.1993.tb00577.x.

  56. Careaga RG, Salazar GD, Tellez LS, et al. Coronary endarterectomy and bypassgrafting without cardiopulmonary bypass. Rev Esp Cardiol 2003;56(5): 515–8.

  57. Naseri E, Sevinç M, Erk MK. Comparison of off-pump and conventional coronaryendarterectomy. Heart Surg Forum. 2003;6(4):216-9.

  58. Ranjan R and Adhikary AB. Coronary endarterectomy in diffuse coronary arterydisease. Dhaka: LAP publishing; 2017. ISBN-13: 978-3330347793.

  59. LaPar DJ, Anvari F, Irvine JN Jr, et al. The impact of coronary artery endarterectomyon outcomes during coronary artery bypass grafting. J Card Surg.2011;26(3):247-53. doi: 10.1111/j.1540-8191.2011.01247.x.

  60. Erdil N, Cetin L, Kucuker S, Demirkilic U, Sener E, Tatar H. Closed endarterectomyfor diffuse right coronary artery disease: early results with angiographic controls.J Card Surg. 2002;17(4):261-6. doi: 10.1111/j.1540-8191.2001.tb01137.x.




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