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Date Published: 02/11/2020
Online Published: 02/11/2020
Abstract Views: 426
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DOI: https://doi.org/10.47972/vjcts.v20i.98
Issue
Vol. 20
Section
Research Article
How to Cite
Dung, V. H. ., Phan, N. V. ., & Phuong, P. K. . (2020). What benefit of cabg for patients older than 70 years-old?. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 20, 129-135. https://doi.org/10.47972/vjcts.v20i.98

What benefit of cabg for patients older than 70 years-old?

Van Hung Dung, Nguyen Van Phan , Phan Kim Phuong

Main Article Content

Abstract

The study included 117 patients, 85 males (76%), mean age 75.4 ± 2.6 years. Combinations of underlying diseases were as follow : diabetes mellitus 47 (40%), hypertension 95 (81%), lipid metabolism disorders 30 (25.6%), chronic renal failure 27 (23%) peripheral vascular disease 10 (8.5%) and chronic obstructive pulmonary disease 13 (11%) . Coronary artery disease including left main stem disease : 63 (53.8%); 3-vessel disease was 101pts (86.3%); 2-vessel disease was 7pts (6%) and one vessel disease was 9 pts (7.7%). Combination valvular disease: 41 cases including mitral regurgitation 27, mitral stenosis 2 and aortic stenosis in 12 cases.* 16 patients (13,7%) underwent emergent and urgent operation. The average number of bypass per patient was 2.95 ± 0.86. Surgical mortality was 3 cases (2.6%) and 11 patients were reoperated (due to bleeding in 7 and sternal infection in 4 cases). Other complications such as wound infection 17, pneumonia 17, septicemia 4, paroxysmal atrial fibrillation after surgery 20, acute kidney failure requiring PD 4, neurological complications included cognitive disorders : 8 cases and ischemic stroke : 2 cases. The mean ICU time was 4.6 ± 0.45 days (1- 30 days) and mechanical ventilation time was 49.8 ± 8.8 hours (2-288 hours). Average hospital stay was 17.2 ± 9.2 days (4-60 days). Average postoperative follow-up was 47.6 ± 4.5 months (3-169 months) Late death was 17 cases (14.9%) due to cancer: 8, heart failure: 3, sudden death: 2; unknown: 2 and by accident 2 cases.15 year actual survival was 68± 7.9%.

Article Details

Keywords

CABG

References

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