Staff Members - Benha University
Outcome of Elective Coronary Revascularization in Patients with Liver Cirrhosis.Outcome of Elective Coronary Revascularization in Patients with Liver Cirrhosis.
• 2013
Publication Information
Authors
Dr. Mohamed Ahmed El Awady, Dr. Moataz Rezk
Lecturer of Cardiothoracic surgery department, Faculty of medicine, Banha University
Keywords
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publication.type
Local
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Supplementary Materials
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Abstract
Objectives:
Coronary artery bypass grafting in cirrhotic patients carries high risk of morbidity and mortality. Most of these complications are related to hepato-renal failure, bleeding and postoperative wound infection rather than cardiac problems.
Methods:
Prospective study to evaluate elective CABG early postoperative outcome of elective CABG in patients with Class A Child Pugh liver cirrhosis.
Results
From October 2007 to April 2011total 59 patients with Class A liver failure underwent elective CABG.37male, 22female.42hypertensives and 28diabetics.Mean1st 24hours chest tube drainage was 853.80±56.10ml, minimal 130ml maximum 3500 ml.12 patients (20.3%) were re-explored for bleeding. Mean ventilation time was 10.48± 6.65 hours. Mean ICU stay was 59.52± 13.91hours. Two patients (3.38%) died one patient due to hepato-renal failure (re explored 3 times) while the 2nd patient died after delayed recovery due to cerebral hemorrhage . 20 patients (33.89%) had wound infection ,two need debridement and rewiring . Mean hospital stay was 9.18±2.29days. Total morbidity was 49%. Total mortality was 3.38%.
Conclusion:
Elective CABG can be tolerated satisfactorily in class A Child Pugh cirrhotic patients with high incidence of the postoperative complications specially bleeding and wound infection.
Coronary artery bypass grafting in cirrhotic patients carries high risk of morbidity and mortality. Most of these complications are related to hepato-renal failure, bleeding and postoperative wound infection rather than cardiac problems.
Methods:
Prospective study to evaluate elective CABG early postoperative outcome of elective CABG in patients with Class A Child Pugh liver cirrhosis.
Results
From October 2007 to April 2011total 59 patients with Class A liver failure underwent elective CABG.37male, 22female.42hypertensives and 28diabetics.Mean1st 24hours chest tube drainage was 853.80±56.10ml, minimal 130ml maximum 3500 ml.12 patients (20.3%) were re-explored for bleeding. Mean ventilation time was 10.48± 6.65 hours. Mean ICU stay was 59.52± 13.91hours. Two patients (3.38%) died one patient due to hepato-renal failure (re explored 3 times) while the 2nd patient died after delayed recovery due to cerebral hemorrhage . 20 patients (33.89%) had wound infection ,two need debridement and rewiring . Mean hospital stay was 9.18±2.29days. Total morbidity was 49%. Total mortality was 3.38%.
Conclusion:
Elective CABG can be tolerated satisfactorily in class A Child Pugh cirrhotic patients with high incidence of the postoperative complications specially bleeding and wound infection.