RESULTS OF PLANNED CORONARY ARTERY BYPASS SURGERY AT VIET-DUC UNIVERSITY HOSPITAL IN THE PERIOD 2019 - 2022
Main Article Content
Abstract
Objectives: To evaluate the results of classic coronary artery bypass graft surgery using cardiopulmonary bypass and cardiac arrest in patients undergoing planned surgery to treat ischemic heart diseases at Viet-Duc University Hospital in the period 2019 – 2022. Methods: Retrospective descriptive study, longitudinal follow-up of patients undergoing planned and classical coronary artery bypass surgery at Viet-Duc University Hospital, from September 2019 to September 2022. Analyze and process data using SPSS 20.0 software. Results: Including 64 patients with mean age 66 ± 7.51 years (48 – 82), male taked 76.56%. The average Euroscore-II was 2.45. Common comorbidities such as hypertension taked for 75%, diabetes nearly 30%, renal failure nearly 30%, left ventricular function (EF) low ≤ 50% taked for more than 23%. Time of aortic clamp and cardiopulmonary bypass was 78 minutes (35 – 158) and 114 minutes (56 – 238), respectively. The mean time of mechanical ventilation was 47 hours (6 – 336) and the average length of stay in the ICU was 9.61 days (4 – 22). There were 4 patients who died during the perioperative period (6.25%). Common complications after surgery were prolonged mechanical ventilation (25,56%), pleural effusion - must be drained (7.81%), general infection (6.25%). Among 60 patients who were discharged alive, there was no death up to the time of the study, with an average follow-up of 21 months, clinical improvement was evident. Comparative echocardiography at the time of surgery, hospital discharge and re-examination of EF improved in the group of patients with low EF, statistically significant with p < 0,05. Conclusion: The planned coronary artery bypass surgery at Viet Duc University Hospital in the period of 2019 – 2023 mostly still follows the classic method, giving good short and medium-term results with low complication rate.
Article Details
References


2. Caldonazo T, Kirov H, Riedel LL, Gaudino M, Doenst T. Comparing CABG and PCI across the globe based on current regional registry evidence. Sci Rep. 2022;12:22164. doi:10.1038/s41598-022-25853-4


3. Alamri HM, Alotaibi TO, Alghatani AA, et al. Effect of Gender on Postoperative Outcome and Duration of Ventilation After Coronary Artery Bypass Grafting (CABG). Cureus. 2023;15(4): e37717. doi: 10.7759/cureus.37717


4. Park H, Ahn JM, Yoon YH, et al. Effect of Age and Sex on Outcomes After Stenting or Bypass Surgery in Left Main Coronary Artery Disease. Am J Cardiol. 2019;124(5):678-687. doi: 10.1016/ j.amjcard.2019.05.061


5. Reiche S, Mpanya D, Vanderdonck K, Mogaladi S, Motshabi-Chakane P, Tsabedze N. Perioperative outcomes of coronary artery bypass graft surgery in Johannesburg, South Africa. J Cardiothorac Surg. 2021;16:7. doi: 10.1186/s13019-020-01385-8


6. Lv M, Gao F, Liu B, et al. The Effects of Obesity on Mortality Following Coronary Artery Bypass Graft Surgery: A Retrospective Study from a Single Center in China. Med Sci Monit Int Med J Exp Clin Res. 2021;27:e929912-1-e929912-10. doi:10.12659/MSM.929912


7. Ruggieri VG, Bounader K, Verhoye JP, et al. Prognostic Impact of Prolonged Cross-Clamp Time in Coronary Artery Bypass Grafting. Heart Lung Circ. 2018; 27(12): 1476-1482. doi: 10.1016/ j.hlc.2017.09.006


8. Jawitz OK, Gulack BC, Brennan JM, et al. Association of Postoperative Complications and Outcomes Following Coronary Artery Bypass Grafting. Am Heart J. 2020;222:220-228. doi: 10.1016/ j.ahj.2020.02.002


9. Pahwa S, Bernabei A, Schaff H, et al. Impact of postoperative complications after cardiac surgery on long‐term survival. J Card Surg. 2021;36(6):2045-2052. doi:10.1111/jocs.15471


10. Hwang HY, Yeom SY, Choi JW, et al. Cardiac Magnetic Resonance Predictor of Ventricular Function after Surgical Coronary Revascularization. J Korean Med Sci. 2017;32(12): 2009-2015. doi:10.3346/jkms.2017.32.12.2009

