Short term outcome of coronary artery bypass graft surgery: Evaluation of recently established cardiac center

Abstract

Background

Overall, coronary artery bypass graft (CABG) surgery achieves excellent outcomes regarding anginal relief and resumption of normal activities. In general, completeness and stability of revascularization are superior with surgical revascularization versus percutaneous interventions.

This study aimed at assessment of the early postoperative outcome of the first 100 CABG cases grafted in the cardiothoracic surgery department, Qena university hospital, Qena, Egypt.

Results

This study was conducted on 100 patients with coronary artery disease. Only 5 patients had single vessel disease and 95 patients had multi-vessel disease, two or more. No one had left main disease. There was a great prevalence of diabetes mellitus (55%), hypertension (69%), dyslipidaemia (55%) and smoking (58%). Operatively, we used left internal mammary artery to left anterior descending coronary artery anastomosis in the majority of cases. In only two cases, right internal mammary artery was used, and great saphenous vein graft was used in anastomosis of remaining diseased vessels. Most cases underwent elective CABG. An intra-aortic balloon pump was used only in 2% of cases. Septicaemia was a significant complication. After 6 months, 97% of the patients were alive.

Conclusions

Institutional results are essential to enable surgeons and interventionists to decide if international data is keeping with local findings or not. However, the likenesses between international data and our results confer confidence in our findings.