PMID- 17717500
OWN - NLM
STAT- MEDLINE
DCOM- 20071105
LR  - 20070824
IS  - 1341-1098 (Print)
IS  - 1341-1098 (Linking)
VI  - 13
IP  - 4
DP  - 2007 Aug
TI  - Outcome of patients after coronary artery bypass grafting in cardiogenic shock.
PG  - 247-50
AB  - PURPOSE: Coronary artery bypass graft (CABG) surgery in patients with cardiogenic 
      shock (CS) is a rare and very high-risk procedure carrying high mortality. In 
      this study we reviewed hospital outcomes and 1-year survivals in these high-risk 
      patients. MATERIALS AND METHODS: During a 4-year period (May 2001 to April 2005), 
      412 patients were operated on for CABG by a single surgeon, and 13 (3.1%) of them 
      were in CS at the time of procedure. RESULTS: The 30-day mortality of patients 
      who underwent CABG during CS was 16%, and mean age was 57+/-10 years. A total of 
      77% were male, 77% were hypertensive, 38% were diabetic, and 31% had renal 
      impairment. Myocardial infarction (MI) affected 62% within 48 h of surgery. 
      Moderate to poor left ventricular function was found in 92%. Twenty-three percent 
      had a preoperative intra-aortic balloon pump. Postinfract ventricular septal 
      defect was present in 16%, and catheter-related problems were present in 23% of 
      patients. After 1 year, all patients (11) were alive, and 85% of them were in New 
      York Heart Association (NYHA) classes I to II. CONCLUSION: CABG in CS produces 
      significant 1-year survival benefits and improvements in functional class. 
      Therefore, early surgical intervention is suggested where percutaneous coronary 
      intervention is not possible or contraindicated for anatomical reasons.
FAU - Dar, Mudassir Iqbal
AU  - Dar MI
AD  - Department of Cardiothoracic Surgery, Liaquat National Hospital, Karachi, 
      Pakistan.
FAU - Manan, Atta Ul
AU  - Manan AU
FAU - Rasheed, Binish
AU  - Rasheed B
FAU - Murtaza, Ghulam
AU  - Murtaza G
FAU - Ahmad, Mansoor
AU  - Ahmad M
LA  - eng
PT  - Journal Article
PL  - Japan
TA  - Ann Thorac Cardiovasc Surg
JT  - Annals of thoracic and cardiovascular surgery : official journal of the 
      Association of Thoracic and Cardiovascular Surgeons of Asia
JID - 9703158
SB  - IM
MH  - *Coronary Artery Bypass/adverse effects
MH  - Female
MH  - Hospital Mortality
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Myocardial Infarction/complications/mortality/*surgery
MH  - Postoperative Complications
MH  - Shock, Cardiogenic/*complications/mortality
MH  - Survival Rate
MH  - Treatment Outcome
EDAT- 2007/08/25 09:00
MHDA- 2007/11/06 09:00
CRDT- 2007/08/25 09:00
PHST- 2006/07/10 00:00 [received]
PHST- 2006/11/13 00:00 [accepted]
PHST- 2007/08/25 09:00 [pubmed]
PHST- 2007/11/06 09:00 [medline]
PHST- 2007/08/25 09:00 [entrez]
AID - atcs/2007_13_4/247 [pii]
PST - ppublish
SO  - Ann Thorac Cardiovasc Surg. 2007 Aug;13(4):247-50.