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  • Oral presentation
  • Open Access

Off-pump coronary revascularization performed concomitant with non-cardiovascular surgery

Journal of Cardiothoracic Surgery20138(Suppl 1):O179

https://doi.org/10.1186/1749-8090-8-S1-O179

Published: 11 September 2013

Keywords

  • Postoperative Morbidity
  • Operative Mortality
  • Coronary Revascularization
  • Wedge Resection
  • Radical Mastectomy

Background

A concern about complications secondary to the cardiopulmonary bypass caused reluctance to perform combined cardiac and non-cardiovascular surgery. We studied the patients who underwent off-pump CABG concomitant with non-cardiovascular surgery.

Methods

Of 2083 patients who underwent isolated off-pump CABG between 1999 and 2012, 91 patients who underwent off-pump CABG concomitant with non-cardiovascular surgery (group 1) were compared with 1991 patients who underwent isolated off-pump CABG (group 2). In group 1, there were 49 malignancies and 42 benigns. Non-cardiovascular surgery included 34 thoracic surgeries (11 bullectomy, 11 pulmonary wedge resection, 5 thymectomy, 4 lobectomy, 1 tracheoesophageal fistulectomy, 1 radical mastectomy, and 1 diaphragm plication), 56 abdominal surgery (24 gastrectomy, 14 cholecystectomy, 7 colectomy, 5 herniorrhaphy, 2 mass excision, 2 nephrectomy, 1 feeding jejunostomy, and 1 perigastric LN biopsy), and 1 below-knee amputation.

Results

Mean age at operation were 67.8 ± 9.6 years (group 1) and 63.9 years ± 9.5 (group 2), respectively. There were no significant differences in preoperative risk factors, including smoking, hypertension, diabetes mellitus, dyslipidemia, obesity, stroke, left ventricular dysfunction, and chronic renal failure between the 2 groups. Mean number of distal anastomosis was 2.93 ± 1.0 in group 1 and 3.09 ± 0.97 in group 2 (p=0.133). Operative mortality was 1.1% (1/91) in group 1 and 1.3% (26/1991) in group 2, respectively (p=1.000). There were no significant differences in postoperative morbidities, including mediastinitis, re-exploration for bleeding, perioperative myocardial infarction, low cardiac output syndrome, atrial fibrillation, and stroke between the 2 groups.

Conclusions

Off-pump CABG concomitant with non-cardiovascular surgery was not associated with increased operative mortality and postoperative morbidities.

Authors’ Affiliations

(1)
Adult Cardiac Surgery, Seoul National University Hospital, Seoul, Korea

Copyright

© Han et al; licensee BioMed Central Ltd. 2013

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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