Document Type
Article
Department
Cardiothoracic Surgery
Abstract
OBJECTIVE: To evaluate outcomes of re-operative coronary artery surgery in a tertiary care hospital in a developing country.
METHOD: Preoperative, intra-operative and postoperative variables were analyzed in 82 consecutive patients who underwent re-operative coronary surgery on cardiopulmonary bypass.
RESULTS: The mean age was 63.3 +/- 7.7 years, 91.2% were male and 9.8% female. Coronary artery disease risk factors were present in more than 50% of the patients. History of preoperative myocardial infarction was positive in 56% patients. There was strong clinical and angiographic indication for surgery with unstable angina in 50% patients and > 80% had multivessel disease. Only 5% patients were in functional class I. The risk stratification showed a mean Euro score of 8. The IABP was used in 20% patients. A mean of 3.1 grafts per patient were applied. The median cardiopulmonary bypass (CPB) and aortic cross clamp time was 144 minutes respectively. Postoperative mortality was 7.3%. Short-term follow up revealed 74% of the patients in NYHA functional class I.
CONCLUSION: Reoperative coronary artery bypass grafting is challenging but with expertise, team effort can be performed with good functional outcome.
Publication (Name of Journal)
Journal of the Pakistan Medical Association
Recommended Citation
Shahabuddin, S.,
Ansari, J.,
Siddiqui, F.,
Amanullah, M.,
Sami, S.
(2011). Redo coronary artery surgery; early and intermediate outcomes from a tertiary care hospital in a developing country. Journal of the Pakistan Medical Association, 61(1), 31-5.
Available at:
https://ecommons.aku.edu/pakistan_fhs_mc_surg_cardiothoracic/14