True emergency coronary artery bypass surgery

摘要: Abstract Previous reports of emergency coronary artery bypass grafting often included cues that were not true surgical emergencies, thereby creating inappropriately favorable results. To accurately investigate this important subgroup patients, we analyzed our recent experience with truly emergent grafting. From January 1984 to 1989, 117 patients underwent for acute refractory ischemia. Clinical deterioration was associated failure percutaneous angioplasty in 37 and instability during diagnostic catheterization 13 patients. Refractory ischemia developed the remaining while on ward or intensive care unit. All operations performed within four hours consultation, most one hour. Overall in-hospital operative mortality 14.5% ( 17 / ), 76.5% deaths ) due cardiac-related causes. Major morbidity occurred 35.9% 42 ). Univariate analysis isolated ejection fraction, extent disease, previous myocardial infarction, hypertension, need inotropic support, use an intraaortic balloon pump, cardiopulmonary resuscitation as risk factors mortality. Stepwise multivariate confirmed resuscitation, reoperation independently significant factors. Age, sex, diabetes, left main peripheral vascular disease had no impact prognosis. The 4% 2 50 taken directly operating room from suite significantly lower than 22.4% mortaiity 15 67 emergerncies arising unit p