TITLE

Impact of Intact Pleura during Left Internal Mammary Artery Harvesting on Clinical Outcome

AUTHOR(S)
Alizadeh Ghavidel, Alireza; Noorizadeh, Eskandar; Pouraliakbar, Hamidreza; Mirmesdagh, Yalda; Hosseini, Saeid; Asgari, Behnam; Gholamour Dehaki, Mahyar
PUB. DATE
March 2013
SOURCE
Journal of Tehran University Heart Center;2013, Vol. 8 Issue 1, p48
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Pleurotomy during coronary artery bypass grafting (CABG) may cause post-operative events, mostly pulmonary complications. In this study, we evaluated the influence of pleurotomy during CABG on the clinical outcome following left internal mammary artery (LIMA) harvesting. Methods: Between March and August 2009, 102 patients who underwent cardiac surgery were enrolled in this study and divided into two groups: group A (n = 48, 36 male and 12 female patients at a mean age of 56.5 ± 11.2 years) underwent routine CABG and pleurotomy and group B (n = 54, 46 male and 8 female patients at a mean age of 55.4 ± 10.3 years) had CABG with intact pleura. The patients were compared regarding their demographic data, surgical data, and postoperative events. Results: The incidence of postoperative pericardial effusion was similar between the groups, but the incidence of postoperative pulmonary complications such as pleural effusion (except for mild pleural effusion) on the second (no: 10.4%, mild: 41.7%, moderate: 45.8% and severe: 2.1% in group A versus no: 42.6%, mild: 44.4%, moderate: 13%, and severe: 0 in group B) and fifth postoperative days (no: 27.1%, mild: 33.3%, moderate: 35.4%, and severe: 4.2% in group A versus no: 42.6%, mild: 44.4%, moderate: 13%, and severe: 0 in group B) was significantly lower in group B (p value < 0.001 and p value = 0.007, respectively). Also, the incidence of atelectasis (except for mild atelectasis) on the second (no: 2.1%, mild: 22.9%, moderate: 72.9%, and severe: 2.1%> in group A versus no: 9.2%, mild: 59.3%, moderate: 31.5%, and severe: 0 in group B) and fifth postoperative days (no: 22.9%, mild: 39.6%, moderate: 35.4%, and severe: 2.1% in group A versus no: 39.6%, mild: 49.1%, moderate: 11.3%, andsevere: 0 in group B) was significantly higher in group A (pvalue < 0.001 and p value = 0.004, respectively). Postoperative partial oxygen pressure and O2 saturation were similar between the groups, but partial carbon dioxide pressure was significantly lower in group A (p value = 0.017). Amount of bleeding (p value = 0.008) and duration of hospitalization (p value =0.002) were significantly higher in group A than those in group B. Conclusion: Our results indicate that keeping the pleura intact has beneficial effects on the respiratory function, without increasing the incidence of postoperative pericardial effusion.
ACCESSION #
86404301

 

Related Articles

  • Impact of Transradial Coronary Procedures on Radial Artery Function. Yan, Zhenxian; Zhou, Yujie; Zhao, Yingxin; Zhou, Zhiming; Yang, Shiwei; Wang, Zhijian // Angiology;Feb2014, Vol. 65 Issue 2, p104 

    We evaluated the impact of transradial coronary procedures on the vasodilatory function of the radial artery. A total of 65 patients who underwent transradial coronary procedures were enrolled. All patients were examined with B-mode high-resolution ultrasound. Radial artery baseline diameter and...

  • Effects of Bronchoalveolar Lavage on Refractory Mycoplasma pneumoniae Pneumonia. Yuanyuan Zhang; Ying Chen; Zhimin Chen; Yunlian Zhou; Yuanjian Sheng; Dan Xu; Yingshuo Wang // Respiratory Care;Sep2014, Vol. 59 Issue 9, p1433 

    INTRODUCTION: This study prospectively evaluated the effect of early bronchoalveolar lavage (BAL) on refractory Mycoplasma pneumoniae pneumonia with radiologically proven large pulmonary lesions in children. METHODS: A total of 35 children diagnosed as having refractory M. pneumoniae pneumonia...

  • Porous Titanium Granules in the Surgical Treatment of Peri-Implant Osseous Defects: A Randomized Clinical Trial. Wohlfahrt, Johan Caspar; Lyngstadaas, Ståle Petter; Rønold, Hans Jacob; Saxegaard, Erik; Ellingsen, Jan Eirik; Karlsson, Stig; Aass, Anne Merete // International Journal of Oral & Maxillofacial Implants;2012, Vol. 27 Issue 2, p401 

    Purpose: Porous titanium granules (PTG) may have potential as an osteoconductive bone graft substitute to treat peri-implant osseous defects. The aim of this study was to analyze clinical and radiographic outcomes of peri-implant osseous defects after treatment with PTG. Materials and Methods:...

  • Results of proximal femur nail antirotation for low velocity trochanteric fractures in elderly. Gavaskar, Ashok Sunil; Subramanian, Muthukumar; Tummala, Naveen Chowdary // Indian Journal of Orthopaedics;Sep/Oct2012, Vol. 46 Issue 5, p556 

    Background: The proximal femur nail antirotation (PFNA) is the recent addition to the growing list of intramedullary implants for trochanteric fracture fixation. The initial results in biomechanical and clinical studies have shown promise. We report our results of low velocity trochanteric...

  • Mini-extracorporeal circulation minimizes coagulation abnormalities and ameliorates pulmonary outcome in coronary artery bypass grafting surgery. Zeitani, J; Buccisano, F; Nardella, S; Flaminio, M; Prati, P; Chiariello, G; Venditti, A; Chiariello, L // Perfusion;Jul2013, Vol. 28 Issue 4, p298 

    Hemostasis is impaired during CABG and coagulation abnormalities often result in clinically relevant organ dysfunctions, eventually increasing morbidity and mortality rates. Fifteen consecutive patients with coronary artery disease submitted to conventional extracorporeal circulation (cECC) have...

  • Outcomes of Percutaneous Coronary Intervention on Saphenous Vein Graft and Native Coronary Vessels. Alidoosti, Mohammad; Hosseini, Seyed Kianoosh; Sharafi, Ahmad; Nematipour, Ebrahim; Salarifar, Mojtaba; Poorhoseini, Hamidreza; Kassaian, Seyed Ebrahim; Haji Zeinali, Ali Mohammad; Amirzadegan, Alireza; Sadeghian, Mohammad; Lotfi-Tokalday, Masoumeh // Journal of Tehran University Heart Center;2011, Vol. 6 Issue 3, p143 

    Background: The optimal target for revascularization in patients with history of coronary artery bypass graft surgery (CABG) is unclear. This study was designed to compare the outcome of percutaneous coronary intervention (PCI) on saphenous vein grafts (SVG) and that on native vessels in...

  • Erythroid Disturbances Before and After Treatment of Portuguese Psoriasis Vulgaris Patients: A Cross-Sectional and Longitudinal Study. Coimbra, Susana; Oliveira, Hugo; Reis, Flávio; Belo, Luís; Rocha, Susana; Quintanilha, Alexandre; Figueiredo, Américo; Teixeira, Frederico; Castro, Elisabeth; Rocha-Pereira, Petronila; Santos-Silva, Alice // American Journal of Clinical Dermatology;2012, Vol. 13 Issue 1, p37 

    Background: A few studies in psoriasis vulgaris patients have reported changes suggesting red blood cell (RBC) damage is linked to neutrophil activation, oxidative stress, and psoriasis worsening. Objective: The aim of this study was to evaluate erythroid disturbances in Portuguese psoriasis...

  • Effect of Naturopathic and Nutritional Supplement Treatment on Tumor Response, Control, and Recurrence in Patients with Prostate Cancer Treated with Radiation Therapy. Braun, Donald P.; Gupta, Digant; Birdsall, Timothy C.; Sumner, Michele; Staren, Edgar D. // Journal of Alternative & Complementary Medicine;Mar2013, Vol. 19 Issue 3, p198 

    Objectives: Use of naturopathic and nutritional supplements (NNS) with antioxidant activity is controversial in patients receiving radiation therapy. The effects of concomitant use of NNS with antioxidant activity during radiation therapy for prostate cancer were investigated in terms of...

  • Does Spinal Analgesia have Advantage over General Anesthesia for Achieving Success in In-Vitro Fertilization? Aghaamoo, Shahrzad; Azmoodeh, Azra; Yousefshahi, Fardin; Berjis, Katayon; Ahmady, Farahnazsadat; Qods, Kamran; Mirmohammadkhani, Majid // Oman Medical Journal;Mar2014, Vol. 29 Issue 2, p97 

    Objective: Because of high psychological burden and considerable costs of in-vitro fertilization, it is greatly important to identify all factors that may influence its results. In this study, general anesthesia and spinal analgesia used for oocyte retrieval were compared in terms of success in...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics