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Dr. Ashraf Mostafa Elnahas :: Publications:

Short Term Outcome of Urgent Coronary Artery Bypass Grafting (CABG) Surgery
Authors: Yousry Shaheen1, Mohamed Youssef1, Mohamed Saffan1, Moataz Rizk1, Ashraf Elnahas1, BassemMofreh1, Ahmed Sobhi1, Mohamed Elgazar1, Sherif Elhendawy2, Yosry Thakeb2, Ayman Ghoneim3,Mahmoud Elemam1 and Mohamed Alassal1, 2*
Year: 2018
Keywords: Urgent CABG, LM disease, ACS, LV impairment.
Journal: Not Available
Volume: Not Available
Issue: Not Available
Pages: Not Available
Publisher: Not Available
Local/International: International
Paper Link: Not Available
Full paper Ashraf Mostafa Elnahas_Outcome of urgent CABG.pdf
Supplementary materials Not Available

Background and aim of the study: Outcomes of emergency coronary artery bypass grafting (CABG) for acute coronary syndrome (ACS) due to left main coronary (LM) disease remain unclear. This study aims to assess the short term Outcome for patients undergoing Urgent CABG, due to LM disease; as assessed by relief of symptoms and 6 months improvement of EF. Methods: This study included 60 patients that underwent urgent coronary artery bypass grafting. Patients were divided into three groups according to the pre operative ejection fraction (EF). The three groups were compared regarding preoperative, operative, and postoperative Echo measurement of Ejection fraction and relief of symptoms. Results: 70% of our cases were male with mean age of 52.2 yr (range, ±7.19 years), no clinical significance between preoperative comorbidities in relation between 3 groups and the postoperative outcome, the risk factors for our patients are Preoperative myocardial infarction (MI), hemodynamic (HD) instability specially in group C and in turn intraoperative risk is; prolonged Cardiopulmonary bypass time and cross clamp time, while during the intensive care unit stay; postoperative bleeding, MI, prolonged ventilation time and extended ICU stay. The total mortality rate is 8.3% form our patients. Postoperative echocardiography just before discharge and 6 months later showed significant improvement of EF especially for patient showing preoperative instability and MI. Conclusion: The present study demonstrated that patients undergoing Urgent CABG have a significant higher preoperative risk especially with myocardial impairment, despite the higher mortality rate 12%, a favorable clinical outcome can be expected if patients survive.

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