Severe obesity does not adversely affect perioperative mortality and morbidity in coronary artery bypass surgery.
OBJECTIVE
Obese patients are usually thought to have an increased risk for complications in coronary artery bypass surgery.


METHODS
Therefore, the data of 500 consecutive patients undergoing coronary artery bypass grafting at our department in 1998 by use of cardiopulmonary bypass were analyzed. Severe obesity was defined as body mass index (BMI) > or = 30.0 kg/m(2). Obese patients (n=100; group O) were compared to the remaining 400 patients (group C). Both groups were comparable with respect to sex, history of prior myocardial infarction, chronic obstructive pulmonary disease, previous stroke, duration of cardiopulmonary bypass, aortic cross-clamp time and number of distal anastomoses performed. Obese patients were slightly younger and diabetes and hypertension were more common in these patients.


RESULTS
Survival and potential complications including perioperative myocardial infarction, sternal wound infection, wound infection at the leg, renal failure, stroke, prolonged mechanical ventilation, pneumonia, reexploration for bleeding, and atrial arrhythmias were analyzed. No significant differences between obese and non-obese patients were detected.


CONCLUSIONS
Severe obesity does not necessarily adversely affect perioperative mortality and morbidity in patients undergoing coronary artery bypass grafting in this study.
Brandt
M
M
Department of Cardiovascular Surgery, University Hospital Kiel, Arnold-Heller-Strasse 7, 24105, Kiel, Germany. mbrandt@kielheart.uni-kiel.de
Harder
K
K
Walluscheck
K P
KP
Schöttler
J
J
Rahimi
A
A
Möller
F
F
Cremer
J
J
D000368:Aged; D015992:Body Mass Index; D001026:Coronary Artery Bypass / Q000009:adverse effects / Q000401:mortality; D003327:Coronary Disease / Q000150:complications; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009017:Morbidity; D009765:Obesity / Q000150:complications*; D012189:Retrospective Studies