Coronary artery bypass surgery in Acute coronary syndrome: Single centre analysis

Volume : VII, Issue : X, October - 2018

Dr Rajendra Umbarkar, Dr Pranay Oza, Dr Pushkar Desai

BACKGROUND: Emergency coronary artery bypass surgery is a high risk procedure and we aimed to evaluate its results, morbidity and

mortality in this single centered retrospective analysis.

METHODS: One hundred eighty two patients who underwent coronary artery bypass surgery in a setting of ACS during 2008–2009 were

analyzed retrospectively. 74 patients underwent emergency CABG while remaining 108 patients had elective procedure. Patients who underwent

emergency CABG only were considered for analysis. All patients were followed for 30 days after surgery, both clinically and

echocardiographically.

Results: 62 male and 12 female patients were taken up for the emergency CABG. 52% patients were in cardiogenic shock. IABP support was

required in 39 (52.7%) patients. One patient was managed on ECMO. Mortality rate was 27% in cardiogenic shock sub group. No mortality was

observed in patients without cardiogenic shock. Incidence of ARF requiring dialysis was 9.45% in shock subgroup. Mean ejection fraction on

follow up was 48.5 + 10.11 %. Re–exploration was conducted in 8/74 (10.8%) patients. Length of hospital stay was 11.4 +4.96 days.

Conclusion: Emergency CABG in patients presented with cardiogenic shock increases the risk of morbidity and mortality as compared to stable

patients.