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Articles

Title: Clinical profile and perioperative complications in patients below 45 years of age undergoing coronary artery bypass grafting

Author:
Radosław Zwoliński, Sławomir Jander, Bogdan Jegier, Marian Zwoliński, Alicja Iwaszkiewicz-Zasłonka, Ryszard Jaszewski, Janusz Zasłonka
Type:
Original articles
Language:
PL
Journal:
Polish Journal of Cardiology
Year:
2002
Volume:
4
Number:
4
Start page:
349
Final page:
354
ISSN:
1507-5540
Keywords:
coronary artery bypass grafting, coronary artery disease, complications
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The aim of the study was the assessment of perioperative complications in patients under 45 years of age who underwent coronary artery bypass grafting (CABG) procedurę. Analysis of preoperative clinical state of the patients, assessment of risk factors of ischaemic heart disease (IHD) and predictors of outcome of CABG. Materiał: The study concerns 125 patients who underwent CABG procedurę. Among them were 65 women aged 27-45 years, mean 41.5 ±3.5 and 60 men aged 33-45 years, mean 41 ±3.2 operated upon betwe-en 1990-1999. CABG procedures were performed on cardiopulmonary by-pass in moderate hypotermia. Results: Mean body surface area(BSA) in women was 1.72±0.15 m2, but 68% of them had BSA Iowerthan 1.8 m2 and 23% Iower than 1.6 m2. In those women died after the operation mean BSA was 1.67 m2 and 5/6 of them had it bellow 1.8 m2. Among men mean BSA was significantly higher (2.02±0.4, p<0.001). There were no significant differences in coronary angiography profile and risk factors of IHD exposure be-tween groups. The perioperative myocardial infarction occured in 9 women and in 2 men. The in-hospital mortality was also significantly higher in thefemale groupthan in małe one (10.8% vs. 3.3%).