Abstract
Introduction.
Now, treatment of ischemic heart disease, in particular selection of optimal surgical methods
of myocardial revascularization is the significant problem. The aim of this study - to evaluate postoperative
results of coronary artery bypass grafting in female patients undergoing traditional CABG and the procedure
off-pump coronary artery bypass (OPCAB).
Material and methods.
In this study between January 2009 and May 2013 included 207 patients for the ana
lysis of the results of surgical treatment, depending on the method of revascularization compared patients
(105 patients) who underwent minimally invasive revascularization, and patients (102 patients) who under
went direct revascularization - CABG.
Results.
Hospital mortality in first group was 0% in the second group - 4.9%. Patients who have undergone
surgery under extracorporeal circulation, had a tendency to a higher frequency of respiratory failure, and
renal dysfunction, cerebral edema, infectious complications. They needed a large volume of blood transfu
sions and longer duration of mechanical ventilation and hospitalization.
Conclusion.
Performing CABG on a beating heart coronary artery disease in women is reducing risk of post
operative heart failure, postoperative mortality and the risk of pulmonary, renal, and infectious complications.
References
1.
Бокерия Л.А., Работников B.C., Коваленко O.A.,
Алшибая М.Д.
Хирургическое лечение ишеми
ческой болезни сердца у женщин. М.: НЦССХ
им. А.Н. Бакулева РАМН; 2006.
2.
Шабалкин Б.В., Жбанов И.В., Арзикулов Т.С.
Ре
васкуляризация миокарда без искусственного
кровообращения.
Грудная и сердечно-сосудис
тая хирургия.
2001; 6:35—41.
3.
BolookiH.
The controversy in clinical results among
men and women after coronary bypass operation.
J. Am. Coll. Cardiol.
2007; 49 (14): 1559-60.
4.
Ahmed W., Tully P.J., Knight J.L., Baker R.M.
Female sex as an independent predictor of morbi
dity and survival after isolated coronary artery bypass
grafting.
Ann. Thorac. Surg.
2011; 92 (1): 59-67.
5.
Raggi P., Shaw L.J., Berman D.S., Callister T.Q.
Gender-based differences in the prognostic value of
coronary calcification.
J. Womens Health.
2004; 13:
273-83.
6.
Edwards F.H., Ferraris V.A., Shahian D.M.,
Peterson E., Furnary A.P., Haant C.K.
et al. Gender-
specific practice guidelines for coronary artery
bypass surgery: perioperative management.
Ann.
Thorac. Surg.
2005; 79 (6): 2189-94.
7.
Абдуллаев Ф.З., Алиев Р.А., Мусаев К.К.
Реваску
ляризация миокарда на работающем сердце у
больных высокого риска.
Грудная и сердечно-со
судистая хирургия.
2010; 6: 47-53.
8.
Акчурин Р.С., Ширяев А.А., Лепилин М.Г., Галяут-
динов Д.М., Сапельников О.В., Латыпов Р.С.
и др.
Многососудистое коронарное шунтирование на
работающем сердце у больных с ишемической
дисфункцией миокарда левого желудочка.
Груд
ная и сердечно-сосудистая хирургия.
2007; 5: 24-9.
9.
Коваленко О.А.
Хирургическое лечение ишеми
ческой болезни сердца у женщин: Автореф.
дис. ... д-ра мед. наук. М.; 2005.
10.
Bainbridge D., Cheng D., Martin J., Novick R.
Does
off-pump or minimally invasive coronary artery
bypass reduce mortality, morbidity and resource uti
lization when compared with percutaneous coro
nary interventions?
J. Thorac. Cardiovasc. Surg.
2007; 133: 623-31.
11.
JaglalS.B., Tu J.V., NaylorC.D.
Higher in-hospital
mortality in female patients following coronary
artery bypass surgery: a population-based study.
Clin. Invest. Med.
1995; 18 (2): 99-107.
12.
Koek H.L., Bruin A., Gast F., Gevers E.,
Kardaun J.W., Reitsma J.B.
et al. Short- and long
term prognosis after acute myocardial infarction in
men versus women.
Am. J. Cardiol.
2006; 98:
993-9.
13.
Edwards F.H., Carey J.S., Grover F.L., Bero J.W.,
Hartz R.S.
Impact of gender on coronary bypass
operative mortality.
Ann. Thorac. Surg.
1998; 66:
125-31.
14.
Hogue C.W., Barzilai B., Pieper K.S., Coombs L.P.,
Delong E.R., Kouchoukos N.T.
et al. Sex differences
in neurological outcomes and mortality after car
diac surgery.
Circulation.
2001; 103: 2133-7. 15.
Magee M.J., Hafley G., Ferquson T.B., Gibson C.M.,
Harrington R.A., Peterson E.D.
et al. Coronary
artery bypass graft failure after on-pump and off-
pump coronary artery bypass: Findings PREVEMT
IV.
Ann. Thorac. Surg.
2008; 85 (2): 494-500
