Document Detail


Off-pump coronary artery bypass surgery in severe left ventricular dysfunction.
MedLine Citation:
PMID:  20124296     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Our aim was to examine hospital outcomes of coronary artery bypass surgery in patients with and without left ventricular dysfunction, with regard to the surgical technique (off- or on-pump). Between March 2007 and March 2008, 689 consecutive patients underwent isolated first-time coronary artery bypass; 127 had ejection fractions < or = 30% (group 1) and 562 had ejection fractions >30% (group 2). Data of preoperative risk profiles and hospital outcomes were collected prospectively. Off-pump operations were performed in 49 (38.6%) patients in group 1 and 196 (34.9%) in group 2. The incidences of infectious, neurologic, and cardiac complications postoperatively were significantly higher in group 1. In multivariate analysis, preoperative ejection fraction < or = 30% was found to be an independent risk factor for postoperative complications and hospital mortality. The subgroup of patients undergoing off-pump surgery in both groups had a significantly lower rate of total complications than those undergoing conventional on-pump operations, but no significant difference in mortality was observed between those undergoing off-pump or conventional surgery in either group. Off-pump surgery helped to limit the increased morbidity rate after coronary bypass in patients with ventricular dysfunction.
Authors:
Rasoul Azarfarin; Leili Pourafkari; Rezayat Parvizi; Azin Alizadehasl; Roghaiyeh Mahmoodian
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Asian cardiovascular & thoracic annals     Volume:  18     ISSN:  1816-5370     ISO Abbreviation:  Asian Cardiovasc Thorac Ann     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-03     Completed Date:  2010-03-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9503417     Medline TA:  Asian Cardiovasc Thorac Ann     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  44-8     Citation Subset:  IM    
Affiliation:
Cardiovascular Research Center, Madani Heart Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.
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MeSH Terms
Descriptor/Qualifier:
Coronary Artery Bypass / adverse effects,  methods,  statistics & numerical data
Coronary Artery Bypass, Off-Pump / methods*,  statistics & numerical data
Female
Heart Ventricles / surgery
Hospital Mortality
Humans
Iran
Male
Middle Aged
Postoperative Complications / etiology
Prospective Studies
Risk Factors
Severity of Illness Index
Treatment Outcome
Ventricular Dysfunction, Left / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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