Abstract
The purpose of this study was to evaluate the adequate timing of coronary artery bypass grafting (CABG) for acute coronary syndrome (ACS). In our institution, emergency CABG has been avoided when possible for ACS patients favoring stabilization with medical therapies, including intra-aortic balloon pumping or percutaneous coronary intervention. After thorough preoperative examinations, an urgent CABG is performed. A total of 67 patients with ACS underwent CABG, comprised of 33 patients receiving an emergency CABG (emergent group: E-G) and 34 patients receiving an urgent CABG (urgent group: U-G). The early and long-term results were evaluated retrospectively. Preoperatively, the incidences of acute myocardial infarction and cardiogenic shock were significantly higher in E-G. No significant differences were found in the intraoperative factors except for the number of distal anastomoses (2.5 in E-G vs. 3.1 in U-G, p=0.01). The hospital mortality was 9.1% in E-G, and 2.9% in U-G, with no significant difference between the groups. Moreover, no patient in U-G necessitated emergency CABG while waiting for surgery. The patency rate of the grafts was 100% in E-G, and 96.2% in U-G. The 5-year survival rate excluding in-hospital death was...Continue Reading
References
Feb 11, 1991·The Annals of Thoracic Surgery·M A GreeneC Mavroudis
Oct 1, 1990·The Annals of Thoracic Surgery·H OhtekiH Suda
Jun 1, 1989·The Annals of Thoracic Surgery·K S NaunheimM C Vandormael
Dec 1, 1987·The Annals of Thoracic Surgery·H L Lazar, C K Haan
Jul 1, 1988·Japanese Circulation Journal·H Kambara
Jun 1, 1988·Circulation·V FusterJ Chesebro
Nov 1, 1995·Circulation·J H BraxtonJ C Baldwin
May 1, 1995·The Annals of Thoracic Surgery·T K KaulC R Jones
Apr 1, 1997·The Journal of Thoracic and Cardiovascular Surgery·D F TorchianaW G Austen
Jun 29, 1999·The Journal of Thoracic and Cardiovascular Surgery·R MohrJ Gurevitch
Oct 4, 2000·The Annals of Thoracic Surgery·J C HartE W Jansen
Oct 12, 2000·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·S BjessmoT Ivert
Apr 12, 2001·The New England Journal of Medicine·P W SerruysUNKNOWN Arterial Revascularization Therapies Study Group
Sep 28, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·M BonacchiG Sani
May 22, 2002·Circulation·P J de FeyterW Lindeboom
Aug 31, 2002·The Journal of Thoracic and Cardiovascular Surgery·Michael MackMitchell Magee
Sep 27, 2002·The Journal of Thoracic and Cardiovascular Surgery·Joseph F SabikBruce W Lytle
Sep 13, 2003·Circulation·Sharif Al-RuzzehUNKNOWN United Kingdom Multi-Center Comparative Analysis of Early Clinical Outcome
Jan 2, 2004·The New England Journal of Medicine·Natasha E KhanJohn Pepper
Apr 22, 2004·JAMA : the Journal of the American Medical Association·John D PuskasRobert A Guyton
May 1, 2004·Circulation·Sorin J BrenerMichael S Lauer
Citations
Dec 3, 2011·Journal of Cardiovascular Translational Research·Gabriele PesariniFlavio Ribichini
Oct 5, 2014·Heart & Lung : the Journal of Critical Care·Munawar KhursheedJunaid A Bhatti
Nov 9, 2011·Circulation·L David HillisMichael D Winniford
Jan 19, 2020·The Journal of Thoracic and Cardiovascular Surgery·Valentino BiancoIbrahim Sultan