CORONARY ENDARTERECTOMY: BENEFIT OR DETRIMENT TO MYOCARDIAL REVASCULARIZATION?

Abstract

Cardiovascular disease is the leading cause of death worldwide. In the same sense, coronary artery bypass graft (CABG) surgery is one of the most frequently performed cardiac surgery procedures worldwide. In clinical practice, myocardial revascularization can be followed by a procedure called endarterectomy to reinforce the sanitation of the vessel with decreased flow and improved irrigation. However, there is sufficient evidence in the medical literature that reports serious adverse events due to the application of endarterectomy, the most feared complication being the perioperative infarction itself, which is why it has fallen into disuse. This work aims to disseminate our experience regarding coronary endarterectomy to be valued as an intervention tool within a complex spectrum like diffuse coronary disease.