Coronary bypass applications in patients with low ejection fraction: investigation of preoperative, intraoperative and postoperative data
Journal Title: Dicle Tıp Dergisi - Year 2014, Vol 41, Issue 3
Abstract
Objective: Left ventricle dysfunction is an important determinant that effects hospital mortality. At the same time,the surgery of these patients is also highly risky. In this study we aimed to evaluate the clinical outcomes of onpump or off-pump revascularizations in patients with low ejection fraction. Methods: One hundred and twenty-nine patients who have ≤ 40% ejection fraction (EF) was scanned retrospectively. Various variables were (preoperative, intraoperative, postoperative) were compared. It was evaluated that whether patients gets preoperative, intraoperative, postoperative support or not. Results:Eighty-four (65.1%) male and 45 (34.9%) female patient were detected with main age of 65.37 ± 8.49 years. Mean basal metabolism index was detected as 26.33 ± 4.21. The distrubution of EF of patients were as follows; EF is between %40-36 in 74 (57.4%) patients, EF is between %35-31 in 38 (29.5%) patients, and EF is ≤%30 in 17 (13.2%) patients. Mean NYHA Class was detected as 2.16 ± 1.03. Mean bypass count was determined as 3.46 per patient and left internal mammarian artery was used in 92.2% of the patients. Hospital mortality was detected as 5 (3.9%). The main important reasons were cardiac factors or concomitant multiorgan failure. Postoperatvie arrythmias were the most detected complications. Conclusion:The patients who have low left ventricular pump function are benefits myocardial revascularization, although mortality is higher than normal ventricular function. However, inspite the all risk, these patients can besucessfully operated with experinced hands. Key words; Low ejection fraction, coronary bypass, mortality, inotropic support
Authors and Affiliations
Oğuz Karahan, Sinan Demirtaş, Umut Sanrı, Fahri Atlı, Ahmet Çalışkan, Celal Yavuz, Şinasi Manduz
Keywords
Related Articles
- EP ID EP94567
- DOI 10.5798/diclemedj.0921.2014.03.0455
- Views 143
- Downloads 0
The coexistence of focal segmental glomerulosclerosis with carcinoid syndrome: A case report
Carcinoid tumor is originated from neuroendocrine tumor family and a rarely presents in humans. Membranous and membrano-proliferative glomerulonephritis were rarely reported with presence of carcinoid tumors. However,...
Comparison of patient-controlled analgesia and continuous infusion with intravenous tramadol in post-thoracotomy analgesia
Objectives: We aimed to compare the consumption, and analgesic and adverse effects of tramadol that given via continuous intravenous infusion and intravenous patient-controlled analgesia. Materials and methods: Forty pa...
The predictive value of three-dimensional Doppler ultrasonography in determining implantation in patients underwent in vitro fertilization
Objective: The aim of this study is to evaluate the relationship between endometrial and sub-endometrial blood flow and implantation rate in patients whose undergone in vitro fertilization. Methods: A prospective study...
The calibration of the percutaneous nephrolithotomy instruments used in pediatric patients with renal stones
Pediatrik Hastalarda Femur Diafiz Kırıklarının Elastik Titanyum Çiviler ile Tedavisi
Amaç: Araştırmanın amacı elastik titanyum çivi ile intramedüller tespit uygulanan stabil olmayan femur kırıklarının fonksiyonel ve radyolojik sonuçlarını değerlendirmek ve sonuçlara etki eden faktörleri belirlemektir....