OUTCOME OF PATIENTS WITH ACUTE LEFT VENTRICULAR FALIURE AFTER CORONARY ARTERY BYPASS GRAFTING

Objective: To investigate the consequences of coronary artery bypass grafting (CABG) in patients with severe left ventricular dysfunction in a high-volume center in the Hospital. Study Design: An Observational Study Place and Duration: The study was performed in the Cardiac Surgery Department of Chaudhry Pervaiz Elahi Institute of Cardiology, Multan for the Period of One Year from August 2016 to August 2017. Materials and Methods: 80 patients consecutively selected with severe left ventricular dysfunction (EF < 35%) who underwent CABG and operated by the same surgical team were included in the study. Preoperative, intraoperative, and postoperative variables were recorded and analyzed using the Social Statistics Statistical Package in version 20.0 to determine hospital outcomes. Results: The total number of patients was 80 (n = 80). The mean age was 61.80 +/- 11.47. 32 patients (40%) were diagnosed with Canadian Class III or IV Cardiovascular Society. Eight patients (10%) had major coronary artery disease. Emergency CABG was performed in 8 patients (10%). Mean postoperative hospital stay was 8.32 +/- 2.45 days. Acute kidney damage was observed in 4 (6%) patients postoperatively. Five (7%) cases applied to postoperative bleeding and three (4%) had a stroke after CABG. Hospital mortality was recorded in 3 out of 80 cases (4%). Conclusion: CABG can be performed with morbidity and mortality acceptable to patients with severe left ventricular dysfunction.