Full endarterectomy of Right coronary artery (RCA) and all branches [post]

mahdi daliri, Farshad Shakerian, Sanaz Asadian, Yaser Toloueitabar, Alireza Yaghoubi
2020 unpublished
This case is a unique 49 years old male with clear images of diagnosis angiography, operation field and post operation findings to show total right coronary artery plaque and how full endarterectomy can help patient. Coronary endarterectomy (CEA) was proposed as a treatment strategy for coronary diseases in the mid-20 th century; however, as a result of being complicated and unpredictable, it was not welcomed by the physicians. The majority of surgeons do not use the procedure for cases with
more » ... e for cases with diffuse or complete right coronary artery lesions. (1) CEA is a sophisticated technique which should be applied only by experienced surgeons, and in patients with diffuse coronary artery diseases, in whom other options have not been effective. (2) A 49-year-old male was admitted to the department with chest pain and high creatinine. The patient underwent angiography; the results showed total occlusion of RCA and significant stenosis of LAD and LCX. (Fig 1A) Upon one session of dialysis, CABG was conducted for the patients. Moreover, due to the diffuse calcification of the RCA and PDA, the total CEA of RCA and its branches was conducted by a 5-mm incision on PDA. (Fig 1B) One month later, the general condition of the patient was good, and the CT-Angio showed the opening of RCA and its branches. . (Fig 1C) Key clinical message Full endarterectomy of right coronary artery (RCA) is an effective treatment of total occlusion of RCA but the technique for full extraction of plaque is more important. Conflict of interest
doi:10.22541/au.160411867.76295512/v1 fatcat:cmv6gbm4hvawtm5ava32g4ptua