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Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.

2021, Number 1

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Cir Card Mex 2021; 6 (1)

Postoperative adverse events in patients with coronary artery bypass grafting for left main coronary stenosis

Cázares-Pérez A, Urías Puentes A, González-Villaseñor JJ, Vega-Hernández R, Quezada-Angulo R, Castro-Roblin LE

Language: English
References: 21
Page: 3-9
PDF size: 194.33 Kb.


ABSTRACT

Objective. To determine the immediate adverse postoperative events in patients with left main coronary stenosis submitted to coronary artery bypass grafting. Material. This was an observational, transverse analytical and retrospective study. Two hundred and two patients with significant left main coronary stenosis submitted to coronary artery bypass grafting in in our institution between January 2018 to December 2018 were included, and postoperative complications were documented. Results. Of the 232 patients 80.2% were men, with an average age of 64 years; diabetes mellitus 52.6%, dyslipidemia 74.6% and chronic kidney failure 4.7%. The main postoperative complications were renal failure 18.9%, atrial fibrillation 11.3% and global mortality 2.9%. Factors associated with complication were female sex with OR=2.89 (95% CI 1.4-5.6, p = 0.002), age of 64.43 ± 8.87 p = 0.019, dyslipidemia OR 2.17 (95% CI 1.15-4.11, p = 0.016), and chronic kidney failure OR 15 (95% CI 1.9- 120, p = 0.001). Complicated patients required mechanical ventilation for 19.4 hours, inotropic use for 38.34 hours and intensive care stay of 74.66 hours, (p=0.01). Conclusions. Factors associated with complications with statistical significance were female sex, age, history of dyslipidemia, chronic kidney disease Chronic renal failure was the most important factor associated with complications. The presence of a complication was associated with a longer time in mechanical ventilation, use of inotropic and intensive care stay.


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