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Yassin El Mourabit1, Mohammed Tribak1, Hasna Leghlimi2
1Service de chirurgie cardiovasculaire B, Hôpital Ibn Sina, Université Med V, Rabat, 1005, Maroc.
Annales De Cardiologie Et D'Angeiologie
|May 9, 2025
Summary
Coronary artery bypass grafting (CABG) in patients under 45 offers excellent long-term survival and improved quality of life. This study confirms CABG is a safe and effective treatment for young adults with coronary artery disease.
Area of Science:
- Cardiology
- Cardiac Surgery
- Vascular Medicine
Context:
- Coronary artery disease (CAD) in young patients (<45 years) presents unique challenges.
- Coronary artery bypass grafting (CABG) is the preferred revascularization strategy for this demographic.
- Understanding outcomes in young CABG patients is crucial for long-term management.
Purpose:
- To characterize the patient profile undergoing CABG at a young age.
- To evaluate the short- and long-term outcomes of CABG in patients under 45.
- To assess quality of life and treatment adherence post-CABG.
Summary:
- A study of 130 young patients (under 45) undergoing CABG showed 1.53% hospital mortality and 24.61% postoperative morbidity.
- Long-term survival at 10 years was 89%, with 82.03% free from major cardiovascular events.
- Mean follow-up of 11 years revealed improved diabetes control (75.5%) and smoking cessation (82.7%), though symptoms persisted in some.
Impact:
- CABG in young patients demonstrates acceptable hospital risks and excellent long-term survival.
- The procedure leads to significant improvements in patients' quality of life.
- Findings support CABG as a viable and beneficial treatment for early-onset coronary artery disease.