Özet:

Purpose: The coronary artery endarterectomy may be required in cases of long-segment toklution or very thin lumen presence due to common atherosclerosis in the coronary arteries, or to improve the quality of anastomose. Although the risk of coronary artery bypass with coronary endarterectomy is to be higher than the patients performed by coronary artery bypass only, the endarterectomy can be applied in order to provide full revascularization due to increased incidence of diffuse or complex coronary heart disease in the patient group that requires revascularization and the results are better than before with advances in the surgical technique and perioperative management. Method: Our retrospective study was carried out in patients applied coronary artery bacterial transplantation surgery. For the first time in the study, patients who were subjected to elective isolation coronary arterial bacterial infusion surgery (combined with coronary endarterectomy or not) were included. Patients who performed a different cardiovascular, carotis or aort surgery simultaneously with the coronary arterial bacterial infusion surgery, patients who performed a different open heart surgery, patients who performed the second open heart surgery were not included in the study. Results: The average age of 184 patients (142 of them men) involved in the study was 63.5+/-9.58. 10 of the patients were carried out with coronary arterial endarterectomy and combined coronary arterial bacterial infusion surgery. The endarterectomy applied to the left front-down artery and the Diagonal artery (50% of coronary endarterectomy patients) was performed with an open technique. In two of the coronary endarterectomy applicants, early period mortality was observed. The result is that in the target coronary arteries, especially in the long segment of severe stenosis/oclusion presence, which reduces the quality of anastomosis and in cases that complicate anastomosis, the combined coronary artery endarterectomy with the coronary artery bacterial injection method is safe in the presence of surgical experience and appropriate patient selection and the results can be acceptable while considering that more patient studies can be useful.

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