[Long-term results of emergency coronary artery bypass grafting].
During a 20-year period, 364 patients underwent coronary artery bypass grafting (CABG) for the treatment of ischemic heart disease. Among these patients, 28 underwent emergency surgery. The reasons for performing emergency CABG were unstable angina in 15 patients, impending myocardial infarction in 12 patients, and congestive heart failure in 1 patient. Eleven patients died postoperatively. Eight variables were examined by univariate analysis for their influence on the occurrence of a hospital death. IABP and acute coronary occlusion were found to be predictors of hospital death and previous myocardial infarction was a predictor of hospital survival. Seventeen patients were followed up for 12 years. There was no cardiac death and actuarial survival at 12 years was 63%. The 14 survivors are now in NYHA functional class I or II. Although the operative mortality rate is high after emergency CABG, the patient's prognosis is good.
Murakami
T
T
Department of Cardiac Surgery, Kawasaki Medical School, Kurashiki, Japan.
Morita
I
I
Inada
H
H
Masaki
H
H
Tabuchi
A
A
Ishida
A
A
Kikugawa
D
D
Endou
K
K
Fukuhiro
Y
Y
Fujiwara
T
T
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001026:Coronary Artery Bypass; D004630:Emergencies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D009203:Myocardial Infarction; D017202:Myocardial Ischemia / Q000401:mortality / Q000601:surgery*; D011379:Prognosis; D012307:Risk Factors; D015996:Survival Rate; D013997:Time Factors