KẾT QUẢ SỚM PHẪU THUẬT BẮC CẦU ĐỘNG MẠCH VÀNH KHÔNG DÙNG TUẦN HOÀN NGOÀI CƠ THỂ TẠI BỆNH VIỆN CHỢ RẪY

Abstract

Objectives: Describe clinical, paraclinical characteristics, postoperative results, general complications and early hospital mortality. Methods: Descriptive cross sectional study. Results: In 141 patients (Male 81.6%). Mean age was 59.8 ± 8.3 years, History and common risk factors were hypertension 79.4%, dyslipidemia 39%, diabetes 29.1%, renal failure 49.6%. Left ventricular function: ejection fraction 53.2 ± 12.4%, Left ventricular end-diastolic diameter 53.2 ± 7.4mm. Three-vessel disease accounted for 93.6%, Left Main was 41.1%. The average operative time was 5.3 hours, the shortest was 3 hours, the longest was 8 hours. Average number of grafts 3.2 ± 0.5, conduits: 99.3% left internal mammary artery, 63.1% right internal mammary artery, 60.3% right gastroepiploic artery, 46.8% saphenous vein, 53.2% total artery bypass. Mechanical ventilation, time of resuscitation, average hospitalization time after surgery was 21.5 hours (Prolonged ventilation 20.7%); 63 hours and 10.5 days, respectively. Postoperative Inotrope and Vasopressors are mainly one or not. Hospital mortality was 2.8%. Conclusion: Off pump coronary artery bypass grafting at Cho Ray Hospital initially showed a safe and effective with acceptable mortality rate. In addition, Off-pump CABG is a challenging technique with surgeon’s experience and a steep learning curve. Off-pump CABG is an attractive strategy for treating high-risk patients and next generation of cardiac surgeons must receive structured training to perform off-pump CABG so as to deal with increasing numbers of high-risk patients.