Surgical revascularization: hospital outcomes

ABSTRACT

Coronary Artery Bypass surgery was first started in Pakistan in NICVD Karachi. The purpose of this retrospective study is to document the total number of CABG done during the last 25 years at NICVD as regards their mortality and morbidity+ Files of all patients undergoing CABG between January 1977 to December 2001 were reviewed for details of surgery as well as outcome and complications during the hospital stay. A total of 4711 patients including 4437 males and only 273 females [5.7 percent] underwent CABG. All patients had angina pectoris and 942 patients [19.9] also had symptoms of heart failure. A total of 382 patients died [8.1 percent] and 24 percent patients had other complications. In the recent years mortality has been reduced to 3.9 percent. CABG sugery is now a well-established treatment for multi-vessel occlusive coronary artery disease. Short-term morbidity and mortality have declined over the years