Related Experiment Video

Updated: Apr 26, 2026

Author Spotlight: Enhancing Coronary Artery Revascularization
05:25

Author Spotlight: Enhancing Coronary Artery Revascularization

Published on: September 15, 2023

1.5K

Early and Mid-term Outcomes in Female Patients Undergoing Isolated Conventional Coronary Surgery

Kazim Erguneş1, Levent Yilik1, Ufuk Yetkin1

  • 1Izmir Katip Celebi University Ataturk Training and Research Hospital, Department of Cardiovascular Surgery , Izmir, Turkey.

Journal of Cardiovascular and Thoracic Research
|July 18, 2014
PubMed

Insights

Female patients undergoing coronary artery bypass grafting (CABG) had higher in-hospital mortality but similar mid-term survival compared to males. Advanced age, hypertension, diabetes, and hyperlipidemia were key predictors in women.

Area of Science:

  • Cardiovascular Surgery
  • Cardiac Surgery Outcomes
  • Gender Differences in Medicine

Background:

  • Observational studies report higher operative mortality in female patients after coronary artery bypass grafting (CABG).
  • Conflicting reports exist regarding early mortality differences between female and male CABG patients.
  • This study investigates predictors of morbidity, mortality, and survival specifically in female patients undergoing isolated conventional CABG.

Purpose of the Study:

  • To identify independent predictive factors for in-hospital mortality and survival in female patients undergoing isolated conventional CABG.
  • To compare outcomes, including mortality and survival rates, between female and male patients after CABG.
  • To analyze factors influencing in-hospital mortality in both female and male CABG patient cohorts.

Main Methods:

  • Retrospective analysis of 1657 patients (361 female, 1296 male) who underwent isolated conventional CABG between January 2002 and December 2009.
  • Statistical analysis to identify independent predictive factors for mortality and survival.
  • Comparison of in-hospital and mid-term follow-up mortality rates between genders.

Main Results:

  • Female patients had significantly higher in-hospital mortality (5.8%) compared to males (3.2%).
  • Independent predictors of in-hospital mortality in females included advanced age, hypertension, diabetes, hyperlipidemia, prolonged ventilatory support, and postoperative atrial fibrillation.
  • Mid-term survival rates were similar between genders (6.1% vs. 4.6% mortality), with Left Internal Thoracic Artery (LITA) usage being a significant survival predictor in females.

Conclusions:

  • Female patients experience higher in-hospital mortality after isolated conventional CABG.
  • Despite higher initial mortality, length of ICU/hospital stay and mid-term survival are comparable between genders.
  • Predictive factors for mortality and survival differ between female and male CABG patients, highlighting the need for sex-specific considerations.
Abstract

Keywords:
Coronary SurgeryFemale GenderPostoperative PeriodPredictive FactorsSurvival

More Related Videos

Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery09:12

Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery

Published on: March 27, 2018

9.0K
Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg09:04

Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg

Published on: November 19, 2019

7.6K

Related Concept Videos

Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
457
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
442
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
627