Kết quả sớm phẫu thuật bắc cầu chủ vành cấp cứu tại bệnh viện Tim Hà nội

Nguyen Thai Minh, Nguyen Hoang Ha, Ha Mai Huong, Hoang Van, Doan Quoc Hung

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Abstract

From 01/2017 to 12/2019, 71 patients underwent emergency coronary arrtery bypass surgery (CABG) in Hanoi Heart Hospital. Mean age 68,7 ± 9,3 years (38-86). 66,2 % of cases was male. Mean Euroscore II value was 15,7%. Surgery indications: developing myocardial infarction (MI) which was unfavourable for percutaneous coronary intervention (PCI): 60,6%; cardiogenic shock due to acute MI: 23,9%; complications of PCI: 7,1%, mechanical complications of MI: 9,9%. Mean number of bypasses: 3,08. Aortic cross-clamp time: 72 minutes (30-167), cardiopulmonary bypass time: 101 (40-264). Postoperative mechanical ventilation time: 4,4 days (1-32). In-hospital mortality rate: 9,9%. Conclusion: Emergency CABG, despite a risky choice, was an acceptable treatment for specific acute MI conditions


 

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References

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