Emergency surgery for left main disease: with and without cardioplegic arrest.
Aged
Biomarkers
/ blood
Cardiopulmonary Bypass
/ adverse effects
Coronary Artery Bypass
/ adverse effects
Coronary Artery Disease
/ diagnostic imaging
Creatine Kinase, MB Form
/ blood
Emergencies
Female
Heart Arrest, Induced
/ adverse effects
Humans
Male
Middle Aged
Myocardial Infarction
/ diagnostic imaging
Postoperative Complications
/ etiology
Retrospective Studies
Risk Factors
Time Factors
Treatment Outcome
Ventricular Function, Left
Cardiopulmonary bypass
Coronary artery bypass
Coronary artery disease
Myocardial infarction
Postoperative complications
Treatment outcome
Journal
Asian cardiovascular & thoracic annals
ISSN: 1816-5370
Titre abrégé: Asian Cardiovasc Thorac Ann
Pays: England
ID NLM: 9503417
Informations de publication
Date de publication:
Mar 2019
Mar 2019
Historique:
pubmed:
22
1
2019
medline:
23
4
2019
entrez:
22
1
2019
Statut:
ppublish
Résumé
The aims of this study were to evaluate the on-pump beating-heart technique of coronary artery bypass in patients with acute myocardial infarction and left main disease, and to retrospectively compare the early postoperative results with those of conventional on-pump arrested-heart coronary surgery. Eighty-five patients with acute myocardial infarction caused by left main disease, who underwent emergency surgery between January 1998 and April 2017 at Saiseikai Utsunomiya Hospital, were enrolled in this study. Of these patients, 56 were evaluated using propensity-matched analysis. The patients were divided into two groups according to the surgical procedure: group A ( n = 28) had on-pump surgery on the arrested heart, and group B ( n = 28) had on-pump surgery on the beating heart. Early postoperative results were compared between the two groups. Preoperative and intraoperative characteristics showed no significant differences between the two groups. The peak creatine kinase myocardial band level was significantly lower in group B (group A 151 vs. group B 91 IU·L There was no significant advantage based on surgical procedure between on-pump beating-heart surgery and on-pump surgery on the arrested heart. On-pump beating-heart coronary artery bypass grafting significantly reduced the peak creatine kinase myocardial band level, but there were no significant differences in the early postoperative data, including the mortality rate and left ventricular function.
Sections du résumé
BACKGROUND
BACKGROUND
The aims of this study were to evaluate the on-pump beating-heart technique of coronary artery bypass in patients with acute myocardial infarction and left main disease, and to retrospectively compare the early postoperative results with those of conventional on-pump arrested-heart coronary surgery.
METHODS
METHODS
Eighty-five patients with acute myocardial infarction caused by left main disease, who underwent emergency surgery between January 1998 and April 2017 at Saiseikai Utsunomiya Hospital, were enrolled in this study. Of these patients, 56 were evaluated using propensity-matched analysis. The patients were divided into two groups according to the surgical procedure: group A ( n = 28) had on-pump surgery on the arrested heart, and group B ( n = 28) had on-pump surgery on the beating heart. Early postoperative results were compared between the two groups.
RESULTS
RESULTS
Preoperative and intraoperative characteristics showed no significant differences between the two groups. The peak creatine kinase myocardial band level was significantly lower in group B (group A 151 vs. group B 91 IU·L
CONCLUSIONS
CONCLUSIONS
There was no significant advantage based on surgical procedure between on-pump beating-heart surgery and on-pump surgery on the arrested heart. On-pump beating-heart coronary artery bypass grafting significantly reduced the peak creatine kinase myocardial band level, but there were no significant differences in the early postoperative data, including the mortality rate and left ventricular function.
Identifiants
pubmed: 30661379
doi: 10.1177/0218492319826434
doi:
Substances chimiques
Biomarkers
0
Creatine Kinase, MB Form
EC 2.7.3.2
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM