1.Cardiac markers responses to coronary bypass graft (CABG) surgery with cardio pulmonary bypass and aortic clamping
Journal Ho Chi Minh Medical 2005;9(2):89-95
Quantitive assessments of serum cTnl, CK-MB in 106 coronary bypass graft (CABG) patients at base line after anesthesia induction; at the end of operation, and at every 6 hours during the first 24h post-operation and then, on 2nd, 3rd, and 5th postoperative day. The serum cTnl and CK-MB significantly increased from the end of the surgery to 5th postoperative day with the peak value (50.82 ± 31.72 mg/ml and 70.78 ± 64 UI/ml, respectively) reached on average 8-10h after the aortic unclamping. The aortic cross-clamping time correlated slight positively to the pear of the serum cTnl and CK-MB on the first postoperative day. The finding showed that the postoperative increase of cTnl levels in the CAGB patients resulted from several factors. The most important contributing factor was the cross clamping time, other ones were the cardioplegia types
Coronary Artery Bypass
;
Cardiopulmonary Bypass
2.Aortocoronary bypass surgery -with Noncarioplegic myocardial protection.
The Korean Journal of Thoracic and Cardiovascular Surgery 1993;26(4):276-281
No abstract available.
Coronary Artery Bypass*
3.Aortocoronary bypass surgery after PTCA.
The Korean Journal of Thoracic and Cardiovascular Surgery 1993;26(1):32-35
No abstract available.
Coronary Artery Bypass*
4.Efficacy of anesthesia with sufentanil-propol for coronary artery bypass
Journal Ho Chi Minh Medical 2005;9(3):153-157
Study on 198 cases of coronary artery bypass surgery at Heart Institute of Ho Chi Minh city. There were 146 males and 52 females; mean weight: 59.46±9.37kg, mean age: 61.51±8.20 years old, the mean time of cardiopulmonary bypass: 155.07±36.28 minutes, the mean time of aortic clampage: 93.36±23.09 minutes, average number of coronary artery bypass grafts: 3.23±0.86, the mean time of extubation: 8.26±1.97 hours, the mean day of ICU length stay: 1.8±2.3 days, the mean day of hospital length stay: 17.93±8.5 days. These findings showed that the introduction of new anesthetic drugs with fast effectiveness and short duration of anesthesia could help to have rapid intubations, hemodynamic stability, and early extubation, to ensure patients’ safety, even in emergency operations or cardiac dysfunction patients
Coronary Artery Bypass
;
Anesthesia
5.Vein patch angioplasty with internal mammary artery grafting of the left anterior descending coronary artery
Adrian E. Manapat ; Eduardo R. Bautista
Acta Medica Philippina 2024;58(6):52-57
Objective:
To describe the treatment outcomes of patients who underwent coronary artery bypass grafting (CABG) with vein patch angioplasty with internal mammary artery (IMA) grafting of the diffusely diseased left anterior descending (LAD) coronary artery.
Methods:
This is a retrospective observational study of 26 patients who have undergone vein patch angioplasty of the LAD coronary artery with IMA grafting in three centers by a single surgeon from January 2012 to August 2017. The demographic profile, intraoperative data, and postoperative outcome (including in-hospital mortality and morbidity, perioperative myocardial infarction, and NYHA functional classification) were recorded. Continuous variables were expressed as means with standard deviation and categorical variables summarized as frequencies and percentages. Student’s t-test was used to compare the preoperative versus postoperative mean NYHA functional class.
Results:
There were 22 (85%) males and 4 (15%) females with a mean age of 62 years (range: 34 to 82). Twentyfive patients (96%) had a three-vessel disease, and one (4%) had a two-vessel disease. Nine patients (35%) had a preoperative myocardial infarction. The mean cardiopulmonary bypass and aortic-cross clamp times were 156 and 118 minutes, respectively. The mean number of vessels grafted was 4.12. Multiple arterial grafting was used in seven patients (27%). There were two in-hospital mortalities (7.7%) and three morbidities (11.5%), including reoperation for bleeding, acute kidney injury, and leg wound infection. Six patients (23%) developed postoperative atrial fibrillation. No patient developed perioperative myocardial infarction. The mean ICU stay was three days, and the mean hospital stay was 10.27 days. The mean NYHA functional class improved from 2.85 preoperatively to 1.5 postoperatively (p<0.00001). Among patients with improvement, postoperative NYHA improved by two functional classes in 38% and by one functional class in 62%.
Conclusion
Vein patch angioplasty is a valuable technique for diffuse coronary stenosis of the LAD artery with
acceptable early results.
Coronary Artery Bypass
6.The clinical analysis of 32 cases of coronary artery bypass graft.
Hark Jei KIM ; Gun LEE ; Jae Jun WHANG ; Jae Seung SHIN ; Hyoung Ju PARK ; Young Ho CHOI ; Hyoung Mook KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 1992;25(11):1369-1375
No abstract available.
Coronary Artery Bypass*
;
Coronary Vessels*
7.Earlyclicical result of coronary artery bypass surgery for ischemic heart disease.
Jong Bum CHOI ; Huung Kon KIM ; Tae Geun RIM ; Yang Kyu PARK ; Ok Kyu PARK
The Korean Journal of Thoracic and Cardiovascular Surgery 1993;26(4):271-275
No abstract available.
Coronary Artery Bypass*
;
Coronary Vessels*
9.Off-pump and on-pump coronary artery bypass surgery: time to move on.
Chinese Medical Journal 2004;117(6):959-author reply 960
10.Clinical evaluation of 32 cases aortocoronary bypass with saphenous vein.
Jae Hyun CHANG ; Jin Woo CHANG ; Jae Ho CHO ; Won Young SONG ; Byung Ha YOO
The Korean Journal of Thoracic and Cardiovascular Surgery 1993;26(6):452-456
No abstract available.
Coronary Artery Bypass*
;
Saphenous Vein*