Chronic Obstructive Pulmonary Disease and Off-Pump Coronary Surgery

Abstract

Purpose: To determine to what extent chronic obstructive pulmonary disease (COPD) affects mortality and morbidity rates in patients treated with off-pump coronary artery bypass graft (CABG).Methods: A total of 321 patients treated with off-pump CABG were included in the present study. Of the 321 patients, 46 patients had COPD and they were designated as Group 1 and the remaining 275 patients did not have COPD and they were considered as Group 2. We compared the data obtained from the patients in both groups.Results: While preoperative spirometry values and arterial blood gas oxygen saturation levels were significantly lower, the partial values of carbon dioxide were higher in Group 1. Likewise, extubation time, the amount of drainage and blood transfusion, inotropic support, prolonged intubation, pulmonary complications, the use of bronchodilators, and steroids were statistically higher in Group 1 when compared with Group 2. Overall, there was no marked difference between the two groups in terms of mortality incidence.Conclusion: We found similar morbidity and mortality rates among the patients with COPD and without COPD when they were treated with off-pump CABG. Therefore, the present results indicate that the presence of COPD is not associated with in-hospital mortality or severe morbidity post-CABG by off-pump approach.

The effect of the number of vessel grafts used in coronary artery bypass grafting surgery to short-term mortality

“…It is known that cardiac surgery is performed with higher mortality and morbidity rates in advanced age patients compared to younger patients [12][13][14] . We could not analyze this topic because our patients who left their lives ranged between 50 and 80 age.…”

A Double-Blind Randomized Controlled Trial to Determine the Preventive Effect of Hangekobokuto on Aspiration Pneumonia in Patients Undergoing Cardiovascular Surgery

“…Clinically, the high risk of aspiration pneumonia after cardiovascular surgery includes a history of cerebrovascular disease, neurological deficit after surgery, and chronic obstructive pulmonary disease. 11,12)…”

Kardiyopulmoner Baypasa Girilen Açık Kalp Cerrahisi Hastalarında Solunum Fonksiyon Testlerinin Mortalite ve Morbiditeye Etkisi

“…Çalışmamızda Grup 1'de anlamlı olarak kardiyak ritm problemleri gözlenmesi de üstünde durulması gereken bir problemdir. KOAH olan kişilerde KABG sonrası, hipoksi ve asidoza bağlı supraventriküler aritmiler, atriyal fibrilasyon ve düşük kardiyak debi sık rastlanan morbidite nedenleri arasında daha önceki çalışmalarda da belirtilmiştir (1,21,22) . Çalışmamızda da solunum fonksiyonları düşük olan Grup 1'de supraventriküler aritmi ve yeni gelişen atriyal fibrilasyon görülmesi istatistiksel olarak anlamlı oranda gözlenmiştir (Tablo 3).…”

“…Kronik obstrüktif akciğer hastalığı (KOAH), GOLD'un (Global Strategy for the Diagnosis Management and Prevention of Chronic Obstructive Pulmonary Disease) 2017 raporuna göre zararlı partikül ve gazlara bağlı olarak hava yollarında veya alveollerde persistan restriksiyon görülmesi, buna bağlı olarak respiratuvar semptomlar görülmesi ile karakterize bir hastalıktır (1) . KOAH prevalansı genel popülasyonda %11.7 olarak görülmektedir (2) .…”