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RIGHT CORONARY ENDARTERECTOMY: A PROCEDURE WITH INCREASED RISK OF PERIOPERATIVE INFARCTION
Author(s) -
Gale Alan W.,
Chang Victor P.,
Shanahan Mark X.,
Windsor Harry M.
Publication year - 1977
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1977.tb04338.x
Subject(s) - medicine , perioperative , myocardial infarction , cardiology , endarterectomy , infarction , surgery , stenosis
Although right coronary endarterectomy extends operability on this vessel, the procedure is associated with increased risk of perioperative infarction. Forty‐nine patients at St Vincent's Hospital underwent endarterectomy and saphenous vein grafting to the distal right coronary artery, with a hospital mortality of 6.1% and a perloperative infarction rate of 20.4%, compared with rates of 4.2% and 10.9% respectively in a group of patients who did not require endarterectomy. These figures show a trend toward statistical significance which suggests that careful patient selection for endarterectomy is required to obviate an increased risk of complications with this procedure.