Abstract | BACKGROUND: METHODS: Thirty-one patients with acute myocardial infarction underwent emergent surgery between January 1998 and June 2004 at Nayoro City General Hospital. In 16 patients, on-pump surgery was performed on the arrested heart, and in the other 15, on-pump surgery was performed on the beating heart. Early results were compared between the two groups. RESULTS: Preoperative and perioperative patient characteristics revealed no significant differences between the two groups. Although there was no statistically difference between the two groups, the early mortality rates of on-pump arrested-heart coronary bypass grafting (31.3%) was higher than that of on-pump beating-heart coronary bypass grafting (13.3%). Postoperatively, the creatine kinase myocardial band value for the on-pump beating-heart group was significantly lower than that for the on-pump arrested-heart group (221 +/- 200 IU/L versus 666 +/- 540 IU/L, p = 0.008). The incidence of postoperative acute renal failure was significantly higher in the on-pump arrested-heart group than in the on-pump beating-heart group (p = 0.034). The durations of ventilator use and inotropic agent use were longer in the on-pump arrested-heart group than in the on-pump beating-heart group, though the differences were not statistically different (p = 0.152, p = 0.223). CONCLUSIONS:
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Authors | Yuichi Izumi, Katsuaki Magishi, Noriyuki Ishikawa, Fumiaki Kimura |
Journal | The Annals of thoracic surgery
(Ann Thorac Surg)
Vol. 81
Issue 2
Pg. 573-6
(Feb 2006)
ISSN: 1552-6259 [Electronic] Netherlands |
PMID | 16427854
(Publication Type: Journal Article)
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Topics |
- Acute Disease
- Acute Kidney Injury
(etiology)
- Adult
- Aged
- Aged, 80 and over
- Coronary Artery Bypass
(methods)
- Female
- Humans
- Male
- Middle Aged
- Myocardial Infarction
(surgery)
- Postoperative Complications
- Respiration, Artificial
- Retrospective Studies
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