ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
SURGIAL MANAGEMENT OF POST INFARCTION AND UNSTABLE ANGINA PECTORIS
Yavuz ŞENSÖZ, İlyas KAYACIOĞLU, Gökçen ORHAN, Cüneyt KONURAL
Prof. Dr. Siyami Ersek Göğüs, Kalp ve Damar Cerrahisi Merkezi, Kalp ve Damar Cerrahisi Kliniği, Haydarpaşa, İSTANBUL
Background: We aimed to show reliability of surgical therapy that is being more favorite on early period of post myocardial infarctus (MI) and unstable angina pectoris (USAP) cases. Methods: Between January’ 97 and December `98, 18 patients who had post-MI angina occurred in less than 20 days (group 1) and 31 patients who had USAP but had not myocardial infarct in the last 2 months (group 2) were operated at our center and their preoperative, intraoperative and postoperative parameters were evaluated. Preoperative variables were; age, gender, smoking, hypertension, diabetes mellitus, previous myocardial infarct, less than % 30 ejection fraction, time of interval between hospital admittance and operation, properative nitroglycerine usage and existence of left main coronary artery disease. Also, both groups were compared for perioperative variables of; number of distal anastomoses, ITA usage, myocardial preservation, cross-clamp and bypass times. In both groups, postoperative variables of mortality, complications (low cardiac output, sternal dehiscence, and pulmonary dysfunction) and length of stay were analyzed. Results: No statistical difference was present in perioperative variables in both groups. Mortality was %22.2 (4/18) in the first group and %3.3 (1/30) in the second group (p< 0.05). Conclusions: Although mortality and morbidity are higher than in standard CABG operations we believe that these numbers are acceptable.
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