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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