[Middle and late-term results of coronary artery bypass graft surgery in very young (20-29 years) patients].
OBJECTIVE
The purpose of this study is to evaluate the etiologic factors of coronary artery disease (CAD) in very young patients. We want to indicate the importance of selection of the bypass graft materials and to investigate mid and long-term results of coronary artery bypass surgery (CABG) in young patients.


METHODS
Coronary artery bypass surgery was performed in 7734 patients in Gülhane Military Medical Faculty between April 1991-June 2001. The study group included 21 patients (0.027%). Mean age was 23.9+/-2.4 years. All risk factors were treated and control angiography was performed in 17 patients.


RESULTS
Hyperlipidemia was found in 15 patients, smoking in 11, diabetes mellitus in 7, alcohol use in 6, obesity in 5 and, hypertension in 4 patients. We recognized Behçet's disease in two patients including complete form in one case and incomplete form in the other one. Left internal mammarian artery (IMA) was used in 21, left and right IMA in 4, and left and right IMA and radial artery grafts in 2 patients. Mean cross clamp time was 16.5+/-3.4 minutes and extubation time was 4.6+/-1.5 hours. Patients were discharged in 5.9+/-1.7 days.


CONCLUSIONS
We determined a high graft patency rate in our patients during mid and long-term follow-up period due to the use of arterial grafts. To increase graft patency rate the importance of risk factors treatment should be taken into consideration.
Demirkiliç
Ufuk
U
GATA Askeri Tip Fakültesi Kalp ve Damar Cerrahisi Dali, Ankara. u_demir@yahoo.com
Bolcal
Cengiz
C
Küçükarslan
Nezihi
N
Bingöl
Hakan
H
Oz
Bilgehan Savaş
BS
Kuralay
Erkan
E
Tatar
Harun
H
D000328:Adult; D001026:Coronary Artery Bypass / Q000379:methods*; D003324:Coronary Artery Disease / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery*; D003920:Diabetes Mellitus; D005260:Female; D006801:Humans; D006949:Hyperlipidemias; D008297:Male; D008323:Mammary Arteries; D017534:Radial Artery; D012307:Risk Factors; D012907:Smoking; D019737:Transplants; D014421:Turkey / Q000453:epidemiology; D014654:Vascular Patency