redo coronary artery bypass graft in patients over 70 years old safe?

Objective: The aim of this study is to examine the outcomes post redo CABG in patients above 70 years old

Method: This retrospective study was carried out at Liverpool Heart and Chest Hospital, for 148 patients above the age of 70 [Mean age 74.29+/-3.4 years] who underwent reoperation for Coronary Artery Bypass Graft [CABG] over 10 years period between 2001-2011. Post operative mortality and morbidity was analyzed. We used Major Adverse Vascular Events [MAVE] as in-hospital safety of treatment assessment tools

Results: The mean EURO score was 7.41+/- 2.67. Thirty-day mortality was 6% [9 out of 148], and the one-year survival was 84.4% [n=125]. MAVE show 4.7% post-operative Q-wave MI and 4% stroke. Renal impairment was noted in 14.2%. Rate of re-exploration was 12.8% mainly for bleeding and tamponade 8.1% and 2.7% respectively. Mean length of stay was 16.3 days

Conclusion: This study shows acceptable survival and post operative mortality and morbidity in this high risk group. Therefore, Redo CABG in patients over 70 alone should not deter a cardiac surgeon from offering such a potentially beneficial intervention

Hepatic vein collateral draining to left atrium, an extremely rare anomaly cause of hypoxemia , case report from Queen Alia Heart Institute

Hepatic veins collateral to the left atrium are considered a very rare anomaly which causes hypoxemia, our patient 14 years old male has single ventricle dextrocardia corrected 12 years ago and developed hepatic vein drainage to left atrium, treated by minimal invasive procedure through ligation of the hepatic veins collateral, after which oxygen saturation changed from 80% to 96% in few seconds