CORONARY ARTERY BYPASS SURGERY IN ACUTE CORONARY SYNDROME: SINGLE CENTRE ANALYSIS

Dr Rajendra Umbarkar, Dr Pranay Oza, Dr Pushkar Desai

Abstract


BACKGROUND: Emergency coronary artery bypass surgery is a high risk procedure and we aimed to evaluate its results, morbidity and
mortality in this single centered retrospective analysis.
METHODS: One hundred eighty two patients who underwent coronary artery bypass surgery in a setting of ACS during 2008-2009 were
analyzed retrospectively. 74 patients underwent emergency CABG while remaining 108 patients had elective procedure. Patients who underwent
emergency CABG only were considered for analysis. All patients were followed for 30 days after surgery, both clinically and
echocardiographically.
Results: 62 male and 12 female patients were taken up for the emergency CABG. 52% patients were in cardiogenic shock. IABP support was
required in 39 (52.7%) patients. One patient was managed on ECMO. Mortality rate was 27% in cardiogenic shock sub group. No mortality was
observed in patients without cardiogenic shock. Incidence of ARF requiring dialysis was 9.45% in shock subgroup. Mean ejection fraction on
follow up was 48.5 + 10.11 %. Re-exploration was conducted in 8/74 (10.8%) patients. Length of hospital stay was 11.4 +4.96 days.
Conclusion: Emergency CABG in patients presented with cardiogenic shock increases the risk of morbidity and mortality as compared to stable
patients.


Keywords


andechocardiographically clinically conducted

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