Outcomes of coronary artery bypass graft surgery

Abstract

This review article summarizes the major studies that have investigated the outcomes of coronary artery bypass graft surgery (CABG). The article includes a review of the literature in the areas of: history of CABG; indications for CABG; and measurement of quality of life following CABG, including prolongation of life, physical functioning (ie, relief from angina and dyspnea, physical activity, as well as complications of surgery and re-hospitalization), psychological functioning, and social functioning. Overall, the literature demonstrates that the outcomes of CABG have historically been measured in terms of mortality and morbidity; however, it has now been well recognized that adjustment to CABG is a multidimensional phenomenon that is not fully explained by medical factors. Therefore, in addition to studying mortality and morbidity outcomes following CABG, many recent studies have identified that it is important to investigate various physical, psychological, and social variables that have a significant impact on post-operative adjustment to CABG.

Anxiety following cardiac surgery – an important aspect of health status assessment

“…cardiac surgery has become increasingly common in Poland over the last decade [4], and is a recognized and effective treatment method that results in significant improvements in quality of life and life span [5]. However, as studies show, the patients who have undergone cardiac surgery often experience distress, which may have an adverse influence not only on their social functioning and job performance, but also on their health status, as measured by objective indicators [6].…”

Patientenerwartungen optimieren: Beschreibung einer präoperativen Kurzintervention am Beispiel von Patienten vor einer Bypass-Operation

“…Selbst bei sehr invasiven medizinischen Prozeduren wie einer aortokoronaren Bypass-Operation hängen die Behandlungsergebnisse nicht allein von den chirurgischen Fähigkeiten oder medizinischen Faktoren ab [Hawkes et al, 2006;Jonas et al, 2015]. Studien zeigen, dass auch hier psychologische Faktoren eine wichtige Rolle für die Genesung und die postoperative Lebensqualität von Herzpatienten spielen [Hawkes et al, 2006;Auer et al, 2016].…”

Outcome of off-pump coronary artery bypass graft (OPCAB) surgery: Analysis of 129 cases

“…1 In 1962 cardiac surgeon Dr. Sabiston conducted the first unsuccessful saphenous vein graft from the ascending aorta to the distal right coronary artery and the patient died 3 day later. The technique was then pioneered in Cleveland Clinic in USA in late 1960s.…”