Background: Managing patients with diffuse coronary artery disease is
challenging. The advantages of coronary endarterectomy (CE) combined with
coronary artery bypass grafting (CABG) compared to CABG alone are controversial.
This study compared short-term outcomes, including ICU and hospital stays,
arrhythmias, postoperative myocardial infarction, renal impairment, and hospital
mortality, between patients who underwent CABG without and with CE.
Methods: This randomized controlled study included 100 patients who underwent
CABG with or without CE. Participants were randomly allocated into two equal
groups. Group I (n=50) included patients who underwent CABG alone, and Group
II (n=50) included patients who underwent CABG combined with CE.
Results: The right coronary artery was the most common vessel affected by CE
(44%), followed by the left anterior descending artery (42%). Low-output
syndrome and pleural effusion were more frequently observed in Group II;
however, these differences did not reach statistical significance. There was no
difference in postoperative complications or ejection fraction between the groups.
The ICU stay was significantly longer in Group II (3.02±0.84 vs. 2.58±0.5 days;
p=0.007). Additionally, patients in Group II had significantly longer hospital stays
(14.48±1.87 vs. 11.98±1.35, p