Selective coronary vein bypass graft improves outcomes of patients with right coronary artery lesion.

ABSTRACT:

Background

The benefits of selective coronary vein bypass grafting (SCVBG) for patients with severe diffuse lesions of the right coronary artery (RCA) who are unsuitable for coronary endarterectomy (CE) are unclear.

Methods

We recruited patients with diffuse lesions of the RCA undergoing coronary artery bypass surgery between January 2015 and December 2018 and matched SCVBG and CE patients on propensity score (PS). We evaluated the degree of single-stenosis in the RCA, incidence of perioperative myocardial infarction (MI) and major adverse cardiovascular and cerebrovascular events (MACCE), influencing factors of perioperative MACCE, long-term survival rate, and long-term MACCE incidence.

Results

Overall, 430 patients were enrolled: 344 (80%) underwent CE and 86 (20%)

SUBMITTER: Dai L 

PROVIDER: S-EPMC10482643 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature