| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1995;60:19-26
© 1995 The Society of Thoracic Surgeons
Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine and Barnes Hospital, St. Louis, Missouri, USA
* Address reprint requests to Dr Rosenbloom, Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, 3108 Queeny Tower, Barnes Hospital, One Barnes Hospital Plaza, St. Louis, MO 63110.
Presented at the Thirty-first Annual Meeting of the Society of Thoracic Surgeons, Palm Springs, CA, Jan 30–Feb 1, 1995.
Background.: The optimal timing for coronary artery bypass grafting (CABG) after acute myocardial infarction (MI) remains controversial.
Methods.: We examined our experience retrospectively in 3,942 patients who underwent CABG between 1986 and 1993, including 2,296 patients after acute MI.
Results.: The operative mortality associated with increasing time intervals between MI and CABG were 9.1%, 8.3%, 5.2%, 6.5%, and 2.9%, for less than 6 hours, 6 hours to 2 days, 2 to 14 days, 2 to 6 weeks, and more than 6 weeks, respectively. In comparison, the operative mortality was 2.5% for patients with no history of acute MI. The incidence of permanent stroke and perioperative MI were greater and the length of postoperative hospitalization was longer for patients undergoing CABG early after MI. For patients undergoing operation electively, however, the operative mortality associated with increasing time intervals between MI and CABG were less, at 0.0%, 3.6%, 2.1%, 6.4%, and 2.1% for less than 6 hours, 6 hours to 2 days, 2 to 14 days, 2 to 6 weeks, and more than 6 weeks, respectively. For patients undergoing CABG within 14 days of MI, the operative mortality was 5.3% for those receiving an intraaortic balloon pump preoperatively for postinfarction angina, but 11.8% for those who underwent urgent/emergent operation without intraaortic balloon pump support.
Conclusions.: Elective CABG can be accomplished with acceptable morbidity and mortality early after acute MI if an elective operation is possible. In addition, the intraaortic balloon pump should be used aggressively in patients with postinfarction angina to allow for elective rather than urgent/emergent operation.
This article has been cited by other articles:
|
|
 |
|
  L. D. Hillis, P. K. Smith, J. L. Anderson, J. A. Bittl, C. R. Bridges, J. G. Byrne, J. E. Cigarroa, V. J. DiSesa, L. F. Hiratzka, A. M. Hutter Jr, et al. 2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines Developed in Collaboration With the American Association for Thoracic Surgery, Society of Cardiovascular Anesthesiologists, and Society of Thoracic Surgeons J. Am. Coll. Cardiol., December 6, 2011; 58(24): e123 - e210. [Full Text] [PDF]
|
|
|
|
 |
|
 Writing Committee Members, L. D. Hillis, P. K. Smith, J. L. Anderson, J. A. Bittl, C. R. Bridges, J. G. Byrne, J. E. Cigarroa, V. J. DiSesa, L. F. Hiratzka, et al. 2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines Circulation, December 6, 2011; 124(23): e652 - e735. [Full Text] [PDF]
|
|
|
|
 |
|
 A. J. Rastan, O. Akhavuz, and F. W. Mohr Chapter 46 Coronary artery bypass graft surgery The ESC Textbook of Acute and Intensive Cardiac Care, December 1, 2010; 1(1): med-9780199584314-chapter - med-9780199584314-chapter. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Miceli, S. M. J. Duggan, R. Capoun, F. Romeo, M. Caputo, and G. D. Angelini A Clinical Score to Predict the Need for Intraaortic Balloon Pump in Patients Undergoing Coronary Artery Bypass Grafting Ann. Thorac. Surg., August 1, 2010; 90(2): 522 - 526. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. V. Parikh, J. A. de Lemos, M. E. Jessen, E. S. Brilakis, E. M. Ohman, A. Y. Chen, T. Y. Wang, E. D. Peterson, M. T. Roe, E. M. Holper, et al. Timing of In-Hospital Coronary Artery Bypass Graft Surgery for Non-ST-Segment Elevation Myocardial Infarction Patients: Results From the National Cardiovascular Data Registry ACTION Registry-GWTG (Acute Coronary Treatment and Intervention Outcomes Network Registry-Get With The Guidelines) J. Am. Coll. Cardiol. Intv., April 1, 2010; 3(4): 419 - 427. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. L. Anderson and J. R. Doty Bypass Surgery After Non-ST-Segment Elevation Myocardial Infarction: Better Early Than Late? J. Am. Coll. Cardiol. Intv., April 1, 2010; 3(4): 428 - 430. [Full Text] [PDF]
|
|
|
|
 |
|
 A. D'Onofrio, D. Cugola, I. Bolgan, L. Menicanti, A. Fabbri, and M. Di Donato Surgical ventricular reconstruction with different myocardial protection strategies. A propensity matched analysis Interact CardioVasc Thorac Surg, April 1, 2010; 10(4): 530 - 534. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. M Abd-Alaal, M. A Alsabban, O. A Abbas, A. A Alshaer, A. Al-Saddique, and M. Fouda Timing of Revascularization after Acute Myocardial Infarction Asian Cardiovasc Thorac Ann, February 1, 2010; 18(2): 118 - 121. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. A. den Uil, S. D. A. Valk, J. M. Cheng, A. P. Kappetein, A. J. J. C. Bogers, R. T. van Domburg, and M. L. Simoons Prognosis of patients undergoing cardiac surgery and treated with intra-aortic balloon pump counterpulsation prior to surgery: a long-term follow-up study Interact CardioVasc Thorac Surg, August 1, 2009; 9(2): 227 - 231. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. Fattouch, F. Guccione, P. Dioguardi, R. Sampognaro, E. Corrado, M. Caruso, and G. Ruvolo Off-pump versus on-pump myocardial revascularization in patients with ST-segment elevation myocardial infarction: a randomized trial. J. Thorac. Cardiovasc. Surg., March 1, 2009; 137(3): 650 - 656. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. S. Weiss, D. D. Chang, D. L. Joyce, L. U. Nwakanma, and D. D. Yuh Optimal timing of coronary artery bypass after acute myocardial infarction: A review of California discharge data J. Thorac. Cardiovasc. Surg., March 1, 2008; 135(3): 503 - 511. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. C. McGee Jr., P. M. McCarthy, and N. Moazami Temporary Mechanical Circulatory Support Card. Surg. Adult, January 1, 2008; 3(2008): 507 - 534. [Full Text]
|
|
|
|
|
|
I. George and M. C. Oz Myocardial Revascularization after Acute Myocardial Infarction Card. Surg. Adult, January 1, 2008; 3(2008): 669 - 696. [Full Text]
|
|
|
|
|
|
Y. Durandy and S. Hulin Intermittent warm blood cardioplegia in the surgical treatment of congenital heart disease: Clinical experience with 1400 cases J. Thorac. Cardiovasc. Surg., January 1, 2007; 133(1): 241 - 246. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. J. Rastan, J. I. Eckenstein, B. Hentschel, A. K. Funkat, J. F. Gummert, N. Doll, T. Walther, V. Falk, and F. W. Mohr Emergency Coronary Artery Bypass Graft Surgery for Acute Coronary Syndrome: Beating Heart Versus Conventional Cardioplegic Cardiac Arrest Strategies Circulation, July 4, 2006; 114(1_suppl): I-477 - I-485. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. Voisine Influence of time elapsed between myocardial infarction and coronary artery bypass grafting surgery on operative mortality Eur J Cardiothorac Surg, March 1, 2006; 29(3): 319 - 323. [Full Text] [PDF]
|
|
|
|
 |
|
 M. Thielmann, P. Massoudy, M. Neuhauser, S. Knipp, M. Kamler, J. Piotrowski, K. Mann, and H. Jakob Prognostic Value of Preoperative Cardiac Troponin I in Patients With Non-ST-Segment Elevation Acute Coronary Syndromes Undergoing Coronary Artery Bypass Surgery Chest, November 1, 2005; 128(5): 3526 - 3536. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Locker, R. Mohr, Y. Paz, A. Kramer, O. Lev-Ran, D. Pevni, and I. Shapira Myocardial revascularization for acute myocardial infarction: benefits and drawbacks of avoiding cardiopulmonary bypass Ann. Thorac. Surg., September 1, 2003; 76(3): 771 - 776. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. C. Lee, M. C. Oz, A. D. Weinberg, and W. Ting Appropriate timing of surgical intervention after transmural acute myocardial infarction J. Thorac. Cardiovasc. Surg., January 1, 2003; 125(1): 115 - 120. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. Moazami and P. M. McCarthy Temporary Circulatory Support Card. Surg. Adult, January 1, 2003; 2(2003): 495 - 520. [Full Text]
|
|
|
|
|
|
D. C. Lee, W. Ting, and M. C. Oz Myocardial Revascularization after Acute Myocardial Infarction Card. Surg. Adult, January 1, 2003; 2(2003): 639 - 658. [Full Text]
|
|
|
|
|
|
R. J.F. Baskett, W. A. Ghali, A. Maitland, and G. M. Hirsch The intraaortic balloon pump in cardiac surgery Ann. Thorac. Surg., October 1, 2002; 74(4): 1276 - 1287. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K.-B. Kim, C. Lim, H. Ahn, and J.-K. Yang Intraaortic balloon pump therapy facilitates posterior vessel off-pump coronary artery bypass grafting in high-risk patients Ann. Thorac. Surg., June 1, 2001; 71(6): 1964 - 1968. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. C. Lee, M. C. Oz, A. D. Weinberg, S. X. Lin, and W. Ting Optimal timing of revascularization: transmural versus nontransmural acute myocardial infarction Ann. Thorac. Surg., April 1, 2001; 71(4): 1198 - 1204. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. L. Holman, Q. Li, C. I. Kiefe, D. C. McGiffin, E. D. Peterson, R. M. Allman, V. G. Nielsen, and A. D. Pacifico Prophylactic value of preincision intra-aortic balloon pump: Analysis of a statewide experience J. Thorac. Cardiovasc. Surg., December 1, 2000; 120(6): 1112 - 1119. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. A. Eagle, R. A. Guyton, R. Davidoff, G. A. Ewy, J. Fonger, T. J. Gardner, J. P. Gott, H. C. Herrmann, R. A. Marlow, W. C. Nugent, et al. ACC/AHA guidelines for coronary artery bypass graft surgery: A report of the American College of Cardiology/ American Heart Association task force on Practice Guidelines (Committee to revise the 1991 Guidelines for Coronary Artery Bypass Graft Surgery) J. Am. Coll. Cardiol., October 1, 1999; 34(4): 1262 - 1347. [Full Text] [PDF]
|
|
|
|
|
|
R. Mohr, Y. Moshkovitch, I. Shapira, G. Amir, H. Hod, and J. Gurevitch CORONARY ARTERY BYPASS WITHOUT CARDIOPULMONARY BYPASS FOR PATIENTSWITH ACUTE MYOCARDIAL INFARCTION J. Thorac. Cardiovasc. Surg., July 1, 1999; 118(1): 50 - 56. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. Hjelms, P. Alstrup, P. K. Paulsen, U. Niebuhr-Jorgensen, L. Ib Andersen, and H. Arendrup CABG shortly after AMI treated with thrombolysis: an analysis of the surgical group and a comparison with PTCA in the DANAMI study Eur J Cardiothorac Surg, May 1, 1998; 13(5): 555 - 558. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. A. Dietl, M. D. Berkheimer, E. L. Woods, C. L. Gilbert, W. F. Pharr, and C. H. Benoit Efficacy and Cost-Effectiveness of Preoperative IABP in Patients with Ejection Fraction of 0.25 or Less Ann. Thorac. Surg., August 1, 1996; 62(2): 401 - 409. [Abstract] [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
