KẾT QUẢ PHẪU THUẬT BẮC CẦU CHỦ VÀNH CÓ KẾ HOẠCH TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC GIAI ĐOẠN 2019 – 2022

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.