Intensive care outcome of left main stem disease surgery: A single center three years’ experience

作     者：Amr S Omar Samy Hanoura Yasser Shouman Praveen C Sivadasan Suraj Sudarsanan Hany Osman Abdul Rasheed Pattath Rajvir Singh Abdulaziz AlKhulaifi 

作者机构：Department of Cardiothoracic Surgery/Cardiac Anaesthesia and Intensive Care UnitHamad Medical CorporationDoha 3050DAQatar Department of MedicineWeill Cornell Medical College in QatarDoha 3050DAQatar Department of Critical Care MedicineBeni Suef UniversityBeni Suef 62511Egypt Department of Cardiothoracic SurgeryHamad Medical CorporationDoha 3050DAQatar Department of AnesthesiaAlazhar UniversityCairo 11651Egypt Department of Cardiothoracic Surgery/Intensive Care Unit SectionHamad Medical CorporationDoha 3050DAQatar Department of Medical ResearchHamad Medical CorporationDoha 3050DAQatar Department of Cardiothoracic SurgeryQatar UniversityDoha 3050DAQatar 

出 版 物：《World Journal of Critical Care Medicine》 (世界重症医学杂志)

年 卷 期：2021年第10卷第1期

页      面：12-21页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Cardiac surgery Critical care Left main disease Coronary graft Outcome Cardiac output 

摘      要：BACKGROUND Left main coronary artery(LMCA)supplies more than 80%of the left ventricle,and significant disease of this artery carries a high mortality unless intervened ***,the influence of coronary artery bypass grafting(CABG)surgery on patients with LMCA disease on morbidity intensive care unit(ICU)outcomes needs to be ***,the impact of CABG surgery on the morbidity of the ICU population with LMCA disease is worth *** To determine whether LMCA disease is a definitive risk factor of prolonged ICU stay as a primary outcome and early morbidity within the ICU stay as secondary *** Retrospective descriptive study with purposive sampling analyzing 399 patients who underwent isolated urgent or elective *** were divided into 2 groups;those with LMCA disease as group 1(75 patients)and those without LMCA disease as group 2(324 patients).We correlated ICU outcome parameters including ICU length of stay,post-operative atrial fibrillation,acute kidney injury,re-exploration,perioperative myocardial infarction,post-operative bleeding in both *** Patients with LMCA disease had a significantly higher prevalence of diabetes(43.3%vs 29%,P=0.001).However,we did not find a statistically significant difference with regards to ICU stay,or other morbidity and mortality outcome *** Post-operative performance of Patients with LMCA disease who underwent CABG were comparable to those without LMCA *** was more prevalent in patients with LMCA *** findings may help in guiding decision making for future practice and stratifying the patients’care.