دورية أكاديمية
Impact of concomitant coronary artery bypass grafting on postoperative outcomes in patients undergoing pericardiectomy: A 33-year experience.
| العنوان: | Impact of concomitant coronary artery bypass grafting on postoperative outcomes in patients undergoing pericardiectomy: A 33-year experience. |
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| المؤلفون: | Khullar V; Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn., Ahmed E; Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn., Greason K; Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn., Choi K; Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn., Stulak J; Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn., King K; Division of Clinical Trials and Biostatistics, Mayo Clinic, Rochester, Minn., Villavicencio M; Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn., Daly R; Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn., Dearani J; Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn., Crestanello J; Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn., Schaff H; Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minn. |
| المصدر: | JTCVS open [JTCVS Open] 2022 Nov 15; Vol. 13, pp. 178-183. Date of Electronic Publication: 2022 Nov 15 (Print Publication: 2023). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Ltd Country of Publication: Netherlands NLM ID: 101768541 Publication Model: eCollection Cited Medium: Internet ISSN: 2666-2736 (Electronic) Linking ISSN: 26662736 NLM ISO Abbreviation: JTCVS Open Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: [Amsterdam, The Netherlands] : Elsevier Ltd., [2020]- |
| مستخلص: | Objective: Concomitant coronary artery bypass grafting (CABG) and pericardiectomy (PC) can be a technically challenging operation. We sought to study the outcomes of patients undergoing concomitant PC and CABG. Methods: Between July 1983 and August 2016, 70 patients (median age, 67 years; 88% males) underwent concomitant PC and CABG (PC + CABG group). Multivariable analysis was used to identify predictors of mortality. Matched patients who underwent isolated PC (PC group) were identified, and postoperative outcomes and long-term survival in the 2 groups were compared. Results: Compared with the PC group, cardiopulmonary bypass time was significantly longer in the PC + CABG group (82 minutes vs 61 minutes; P < .001). In-hospital mortality was 4% in the PC group and 7% in the PC + CABG group ( P = .380). Multivariable analysis identified peripheral vascular disease (hazard ratio [HR], 2.67; 95% CI, 1.06-6.76; P = .04) as a predictor of increased morbidity or mortality and a borderline association with New York Heart Association functional classes III and IV (HR, 2.41; 95% CI, 0.99-5.86; P = .05) with increased morbidity and mortality in the PC + CABG group. Kaplan-Meier estimates demonstrated similar late mortality rates in the 2 groups at a 15-year follow-up ( P = .700). Conclusions: Concomitant PC and CABG is not associated with increased morbidity or mortality compared with isolated PC. Thus, CABG should not be denied at the time of PC. (© 2022 The Author(s).) |
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| فهرسة مساهمة: | Keywords: coronary artery bypass grafting; pericardiectomy; pericarditis |
| تواريخ الأحداث: | Date Created: 20230417 Latest Revision: 20230418 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC10091208 |
| DOI: | 10.1016/j.xjon.2022.10.011 |
| PMID: | 37063133 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 2666-2736 |
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| DOI: | 10.1016/j.xjon.2022.10.011 |