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Incidence, characteristics, and outcomes of emergent isolated coronary artery bypass grafting

The American Journal of Cardiology Sep 30, 2020

Elsisy MF, et al. - Since there exist limited data on emergency coronary artery bypass surgery (CABG), researchers analyzed patients receiving isolated CABG at Mayo Clinic between 1993 and 2019. In consecutive eras (1993-2000, 2001-2010, 2011-2019), baseline features as well as in-hospital outcomes of emergent CABG were reported. A decline in the number of emergent CABG from 222, to 150, and 55 in the consecutive study eras, was observed. Predicted 10-year survival was estimated to be 57.0% and was not different by CABG indication. Overall, findings showed that the incidence of emergent CABG displayed a temporal reduction between 1993 and 2019, particularly those done because of complications of coronary interventions. Although experts noted a higher prevalence of left ventricular dysfunction and more complete revascularization in more recent years, they found no increment in in-hospital mortality.

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