[Emergency coronary artery bypass grafting with integrated myocardial protection].
In the following retrospective study we reviewed the early postoperative results of emergency CABG; the myocardial management was achieved by utilization of integrated myocardial protection including warm cardioplegic induction, performed at our hospital. From April 1st 1994 to October 30th 1998; 63 patients underwent emergency CABG with integrated myocardial protection. All surgical procedures were performed within 6 hours from the onset of disease or admission transferred from another hospitals. Age ranged 48 to 86 years (mean 69.9 +/- 8.5; 41 male, 22 female). AMI was present in 52, UAP in 11. Preoperative PTCA was done in 20 and IABP was inserted in 53. Cardiogenic shock in 26, mechanical complications in 6, three vessel disease in 48 and LMT disease in 17 was present. Eight patients (12.7%) died in the early postoperative period. Among evaluated risk factors for early postoperative death; the occurrence of cardiogenic shock, mechanical complications of AMI, preoperatively done PTCA and prolonged CPB time were significantly increasing the mortality rate in early postoperative death.
Yoshimoto
K
K
Cardiovascular Surgery, Teine-Keijinkai Hospital, Sapporo, Japan.
Okamoto
F
F
Miyata
M
M
Umami
T
T
Nakanishi
K
K
Matano
J
J
Sakai
K
K
D000368:Aged; D000369:Aged, 80 and over; D001026:Coronary Artery Bypass / Q000379:methods*; D004638:Emergency Treatment; D005260:Female; D006324:Heart Arrest, Induced; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000601:surgery; D012189:Retrospective Studies