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[Long-term results of emergency coronary artery bypass grafting]
T Murakami1, I Morita, H Inada
1Department of Cardiac Surgery, Kawasaki Medical School, Kurashiki, Japan.
Insights
Emergency coronary artery bypass grafting (CABG) for ischemic heart disease has high operative mortality but offers a good long-term prognosis. Survivors achieve improved functional capacity, indicating potential long-term benefits.
Area of Science:
- Cardiology
- Cardiac Surgery
- Ischemic Heart Disease
Abstract:
During a 20-year period, 364 patients underwent coronary artery bypass grafting (CABG) for the treatment of ischemic heart disease. Among these patients, 28 underwent emergency surgery. The reasons for performing emergency CABG were unstable angina in 15 patients, impending myocardial infarction in 12 patients, and congestive heart failure in 1 patient. Eleven patients died postoperatively. Eight variables were examined by univariate analysis for their influence on the occurrence of a hospital death. IABP and acute coronary occlusion were found to be predictors of hospital death and previous myocardial infarction was a predictor of hospital survival. Seventeen patients were followed up for 12 years. There was no cardiac death and actuarial survival at 12 years was 63%. The 14 survivors are now in NYHA functional class I or II. Although the operative mortality rate is high after emergency CABG, the patient's prognosis is good.