Clinical Analysis of 142 Cases of Coronary Artery Bypass Grafting under Extracorporeal Circulation / 昆明医科大学学报

ABSTRACT

Objective To summarize the clinical experience, operation indicators and curative effect of 142 cases of coronary artery bypass grafting (CABG) surgery. Methods We retrospectively analyzed the clinical data of 142 cases of CABG from January 2012 to July 2013 in the Department of Cardiovascular Surgery of Affiliated Yan 'an Hospital of Kunming Medical University. The patients included 92 cases of male, 50 cases of female, aged 24 to 78 years old, average (59.5±5.8) gears. Surgery was performed within the thoracic artery on the left of the left anterior descending branch and right coronary artery and convolution using great saphenous vein arterial anastomosis, treatment of valvular disease and aneurysm at same period,the average bypass 3.89/person. Results Two patients died after the operation,the motality rate was 1.41%. Postoperative complications included low cardiac arrhythmia, cardiac,renal insufficiency, respiratory failure, cerebral infarction/cerebral hemorrhage, open chest again stop bleeding,poor healing of incision, the incidence was 11.2%. The hospital total cost was (68.9±23.4) thousand yuan per patient,the postoperative follow-up time was (8.9±8.9) months,the follow-up rate was 96%,the postoperative patients were reviewed by echocardiography,suggesting left ventricular end-diastolic diameter and left ventricular ejection fraction were improved by different degrees. Conclusion Application of the mulitivessel transplantation methods can reduce the surgical mortality improve the cardiac function and decrease the hospital costs of patients.