Long-term survival of patients with pulmonary disease undergoing coronary artery bypass surgery

Abstract

Pulmonary disease is a significant factor determining long-term survival. Patients with severe COPD still have a relatively good long-term survival and should not be denied surgery. LIMA utilization in patients with COPD results in a significantly increased long-term survival, without an increased intensive care unit stay, re-intubation rate or in-hospital mortality rate.

Long-Term Survival after Cardiac Surgery in Patients with Chronic Obstructive Pulmonary Disease

“…COPD is a predictor of PLOS and long-term survival following CABG. [3][4][5] To our knowledge, no studies have been published yet regarding the synergistic impact of PLOS on long-term survival among COPD patients after CABG.…”

“…Survival after CABG among COPD patients varies by pulmonary disease severity. 5 Pulmonary function tests, such as measurement of FEV 1 values, were not repeated before surgery, and the effect of medical therapy may have resulted in some misclassification of COPD severity. However, COPD status was classified as a binary variable in our main analysis, and the misclassification of HRs by severity most likely would have biased results toward the null.…”

“…[3][4][5] Among CABG patients, COPD is a predictor of prolonged length of stay (PLOS), prolonged mechanical ventilation, and postoperative complications (eg, pneumonia). [6][7][8][9] COPD also is an important predictor of long-term survival following CABG.…”

“…[6][7][8][9] COPD also is an important predictor of long-term survival following CABG. [3][4][5] However, little is known about the synergistic effect of PLOS and COPD on survival. COPD is an important topic to investigate in this era of cost containment and comparative effectiveness research.…”

Pulmonary Ventilation and Gas Exchange Efficiency in Risk Assessment for Chronic Postthromboembolic Pulmonary Hypertension

“…Помимо неспецифических осложнений кардиохирургических вмешательств, таких как ате-лектаз легких, экссудативный перикардит, дисфунк-ция диафрагмального нерва, для хирургического лечения ХТЛГ характерны осложнения в виде репер-фузионного синдрома легких и резидуальной легоч-ной гипертензии. Данные осложнения имеют высо-кий риск неблагоприятного исхода [1], а сопутствую-щая патология дыхательной системы может еще более усугублять результаты хирургического вмешательства при любой сердечно-сосудистой патологии [7,8].…”