PMID- 25753326
OWN - NLM
STAT- MEDLINE
DCOM- 20160401
LR  - 20181113
IS  - 2186-1005 (Electronic)
IS  - 1341-1098 (Print)
IS  - 1341-1098 (Linking)
VI  - 21
IP  - 3
DP  - 2015
TI  - Coronary Bypass Surgery in Patients with Pulmonary Hypertension: Assessment of 
      Early and Long Term Results.
PG  - 268-74
LID - 10.5761/atcs.oa.14-00227 [doi]
AB  - PURPOSE: We aimed to evaluate the effects of preoperative pulmonary hypertension 
      (PH) on early and long term results in patients undergoing coronary bypass 
      surgery and the effects of coronary bypass surgery on PH. METHODS: Among 2325 
      patients who underwent elective isolated coronary artery bypass surgery between 
      March 2003 and March 2012, 287 patients with high preoperative pulmonary arterial 
      pressure (PAP) >/=30 mmHg were examined. Patients' data were obtained by 
      retrospective examination of our clinic's database. 69 patients who had complete 
      parameters included in the study. RESULTS: There was no increase in the New York 
      Heart Association (NYHA) functional classification 84% of cases. Preoperative and 
      postoperative values of the mean ejection fraction and mean PAP of patients was 
      respectively 45.28 +/- 9.67 (25-65), 46.03 +/-12.4 (20-65) (p = 0.447), 36.67 +/- 6.81 
      (30-60) mmHg, 37.81 +/- 10.07 (20-70) mmHg (p = 0.378). The late mortality of cases 
      was 5.79%. In our study, during 33.9 +/- 17 (9-100) months follow up period, life 
      expectancy was calculated as 94.7 months. CONCLUSION: Preoperative evaluation of 
      these patients for appropriate medical treatment at peroperative and 
      postoperative period, coronary bypass can be performed with low morbidity and 
      mortality rates. In the late period after surgical revascularization PH showed no 
      significant change and had no adverse effect on quality of life.
FAU - Akca, Baris
AU  - Akca B
AD  - Department of Cardiovascular Surgery, Inonu University Faculty of Medicine, 
      Malatya, Turkey.
FAU - Erdil, Nevzat
AU  - Erdil N
FAU - Disli, Olcay Murat
AU  - Disli OM
FAU - Donmez, Koksal
AU  - Donmez K
FAU - Erdil, Feray
AU  - Erdil F
FAU - Colak, Mehmet Cengiz
AU  - Colak MC
FAU - Battaloglu, Bektas
AU  - Battaloglu B
LA  - eng
PT  - Journal Article
DEP - 20150309
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  - Aged
MH  - Arterial Pressure
MH  - *Coronary Artery Bypass/adverse effects/mortality
MH  - Coronary Artery 
      Disease/complications/diagnosis/mortality/physiopathology/*surgery
MH  - Elective Surgical Procedures
MH  - Female
MH  - Humans
MH  - Hypertension, Pulmonary/*complications/diagnosis/mortality/physiopathology
MH  - Kaplan-Meier Estimate
MH  - Life Expectancy
MH  - Male
MH  - Middle Aged
MH  - Pulmonary Artery/physiopathology
MH  - Quality of Life
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Time Factors
MH  - Treatment Outcome
PMC - PMC4989974
EDAT- 2015/03/11 06:00
MHDA- 2016/04/02 06:00
PMCR- 2015/01/01
CRDT- 2015/03/11 06:00
PHST- 2015/03/11 06:00 [entrez]
PHST- 2015/03/11 06:00 [pubmed]
PHST- 2016/04/02 06:00 [medline]
PHST- 2015/01/01 00:00 [pmc-release]
AID - atcs.oa.14-00227 [pii]
AID - 10.5761/atcs.oa.14-00227 [doi]
PST - ppublish
SO  - Ann Thorac Cardiovasc Surg. 2015;21(3):268-74. doi: 10.5761/atcs.oa.14-00227. 
      Epub 2015 Mar 9.