ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
EMERGENCY MYOCARDIAL SURGICAL REVASCULARIZATION
Vedat Erentuğ, Nilgün Ulusoy Bozbuğa, Adil Polat, Deniz Göksedef, Kaan Kırali, Mustafa Güler, Mehmet Balkanay, Gökhan İpek,Esat Akıncı, Mete Alp, Cevat Yakut
Koşuyolu Kalp Eğitim ve Araştırma Hastanesi, Kalp Damar Cerrahisi Kliniği, İstanbul
Background: The aim of this study is to evaluate efficacy and safety of surgical myocardial revascularization.

Methods: We have analysed the 112 patients who underwent emergent myocardial surgical revascularization between 1994 and 2002. Ninety of the patients (80.4%) were male and 22 (19.6%) were female. The mean age was 58 ± 10 years (36-77). Twelve patients (10.7%) were operated for the acutely evolving occlusion during the cardiologic intervention within the first 6 hours. Eighty patients (75.9%) were operated on with cardiopulmonary bypass. Complete revascularization was performed in 79 (70.5%) patients. Left internal thoracic artery was used in 60 (53.5%) patients.

Results: Mortality was 8% with nine patients. In the postoperative follow up, need for inotropic support occurred in 44 (39.2%), intraaortic baloon pump in 39 (34.8%), perioperative myocardial infarction in 34 (30.4%), ventricular arrhythmias in 22 (19.6%), atrial arrhythmias in three (2.7%) patients. Five (4.9%) patients required angioplasty in the following year.

Conclusions: Despite the frequent need for the inotropic and the mechanical support during postoperative follow up, the encouraging results show that with meticulous intensive care, patients may benefit from emergency surgery.

Keywords : Emergency myocardial revascularisation, acute myocardial infarction, coronary revascularisation
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