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Staroverov Il.N.

Regional Clinical Hospital;
Yaroslavl State Medical University

Staroverov Iv.N.

Regional Clinical Hospital

Churakov S.O.

Regional Clinical Hospital;
Yaroslavl State Medical University

Lonchakova O.M.

Regional Clinical Hospital;
Yaroslavl State Medical University

Short-term outcomes after off-pump coronary artery bypass surgery in patients with left main coronary artery disease presenting with acute and chronic coronary syndrome

Authors:

Staroverov Il.N., Staroverov Iv.N., Churakov S.O., Lonchakova O.M.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2020;13(4): 315‑321

DOI: 10.17116/kardio202013041315

Read: 2606 times

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Table of contents

SHORT-TERM OUTCOMES AFTER OFF-PUMP CORONARY ARTERY BYPASS SURGERY IN PATIENTS WITH LEFT MAIN CORONARY ARTERY DISEASE PRESENTING WITH ACUTE AND CHRONIC CORONARY SYNDROME
SHORT-TERM OUTCOMES AFTER OFF-PUMP CORONARY ARTERY BYPASS SURGERY IN PATIENTS WITH LEFT MAIN CORONARY ARTERY DISEASE PRESENTING WITH ACUTE AND CHRONIC CORONARY SYNDROME

To cite this article:

Staroverov IlN, Staroverov IvN, Churakov SO, Lonchakova OM. Short-term outcomes after off-pump coronary artery bypass surgery in patients with left main coronary artery disease presenting with acute and chronic coronary syndrome. Russian Journal of Cardiology and Cardiovascular Surgery. 2020;13(4):315‑321. (In Russ.)
https://doi.org/10.17116/kardio202013041315

Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To evaluate short-term outcomes of off-pump coronary artery bypass surgery in patients with left main coronary artery disease in acute and chronic coronary syndrome.

MATERIAL AND METHODS

A prospective study enrolled 194 patients with acute coronary syndrome (ACS) (n=112) and post-infarction cardiosclerosis (n=82). All patients had left main coronary artery disease and underwent off-pump coronary artery bypass grafting. Syntax SCORE was 32 (28; 36), 33 (29; 38) respectively (p>0.05). Preoperative characteristics, postoperative morbidity, in-hospital mortality and functional status of the myocardium were evaluated in each group.

RESULTS

In-hospital mortality was 3.6% in the ACS group and 2.4% in the second group (p>0.05). According to logistic regression analysis, risks factors of mortality in the ACS group were age (OR 1.19; 95% CI 1.02-1.38; p=0,02) and EuroSCORE II (OR 1.33; 95% CI 1.08-1.64; p=0,007). The first group was characterized by more common postoperative inotropic support (43% versus 26%, p=0.02). Between-group analysis of postoperative functional parameters of the myocardium revealed significantly increased left ventricular ejection fraction and reduced end-diastolic volume in the ACS group.

CONCLUSION

Off-pump CABG is safe and effective in patients presenting with ACS and left main coronary artery disease. These procedures can significantly improve the functional status of the myocardium compared to chronic coronary artery disease.

Keywords:

left main coronary artery disease
acute coronary syndrome
off-pump coronary artery bypass surgery
chronic coronary syndrome

Authors:

Staroverov Il.N.

Regional Clinical Hospital;
Yaroslavl State Medical University

Staroverov Iv.N.

Regional Clinical Hospital

Churakov S.O.

Regional Clinical Hospital;
Yaroslavl State Medical University

Lonchakova O.M.

Regional Clinical Hospital;
Yaroslavl State Medical University

Received:

14.04.2020

Accepted:

28.04.2020

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References:

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