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80세 이상 고령 환자에서 심폐바이패스 없이 시행한 관상동맥우회술의 중단기 성적
DC Field | Value | Language |
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dc.contributor.author | 김도균 | - |
dc.contributor.author | 유경종 | - |
dc.date.accessioned | 2017-10-26T06:37:55Z | - |
dc.date.available | 2017-10-26T06:37:55Z | - |
dc.date.issued | 2005 | - |
dc.identifier.issn | 0301-2859 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/151101 | - |
dc.description.abstract | Background: With the increasing age of the population, coronary artery bypass grafting in the elderly patients is becoming common. Off-pump coronary artery bypass grafting (OPCAB) has been proven to be less morbidity and to facilitate early recovery. The elderly patients may have benefits by avoiding the adverse effects of the cardiopulmonary bypass. The purpose of this study is to evaluate our results of OPCAB in elderly patients. Material and Method: A retrospective chart review was carried out for 12 patients aged over 80 years who underwent isolated OPCAB from January 2001 and March 2004. Data were collected risk factors for disease, extent of coronary disease, and in-hospital outcomes. Postoperative graft patency was evaluated in 9 patients by multi-slice computed tomography. Result: Eleven patients had triple vessel disease or left main disease. Four patients were suffered from preoperative CVA, and 4 patients had chronic obstructive pulmonary disease. Two patients had myocardial infarction (MI), among them 1 patient was suffered from pulmonary edema after preoperative MI. There was no perioperative death, perioperative MI, and no ventricular arrhythmia. Also there was no perioperative stroke and renal failure. But there was one deep sternal infection who recovered by treating of muscle flap. Atrial fibrillation was newly developed in 1 patient, but was well controlled by medication. Mean intubation time was 15.9±4.4 (8∼20 hrs) hrs and mean ICU stay was 2.9±0.8 (2∼4 days) days. Mean hospital day was 21.6±14.3 (13∼56 days) days. Postoperative mean CK-MB was 11.3±14.1 ng/mL. Early postoperative graft patency rate was 100% (24/24). Follow-up was completed in all patients. In this time, there was no patients with angina or death. Conclusion: The results of this study suggest that OPCAB reduces morbidity and favors hospital outcomes. Therefore, OPCAB is safe, reasonable and might be preferable operative strategy in elderly patients. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | Korean | - |
dc.publisher | 대한흉부외과학회 | - |
dc.relation.isPartOf | Korean Journal of Thoracic and Cardiovascular Surgery (대한흉부외과학회지) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Coronary artery bypass | - |
dc.subject.MESH | Off pump | - |
dc.subject.MESH | Age factor | - |
dc.title | 80세 이상 고령 환자에서 심폐바이패스 없이 시행한 관상동맥우회술의 중단기 성적 | - |
dc.title.alternative | The Clinical Outcomes of Off-Pump Coronary Artery Bypass Grafting in the Octogenarians | - |
dc.type | Article | - |
dc.publisher.location | Korea | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) | - |
dc.contributor.department | Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) | - |
dc.contributor.googleauthor | 김도균 | - |
dc.contributor.googleauthor | 이창영 | - |
dc.contributor.googleauthor | 이교준 | - |
dc.contributor.googleauthor | 주현철 | - |
dc.contributor.googleauthor | 유경종 | - |
dc.contributor.googleauthor | 이주현 | - |
dc.identifier.doi | OAK-2005-04815 | - |
dc.contributor.localId | A00380 | - |
dc.contributor.localId | A02453 | - |
dc.relation.journalcode | J02127 | - |
dc.identifier.eissn | 2093-6516 | - |
dc.relation.journalsince | 1968~2010 | - |
dc.relation.journalafter | 2011~ Korean Journal of Thoracic and Cardiovascular Surgery | - |
dc.subject.keyword | Coronary artery bypass | - |
dc.subject.keyword | Off pump | - |
dc.subject.keyword | Age factor | - |
dc.contributor.alternativeName | Kim, Do Kyun | - |
dc.contributor.alternativeName | Yoo, Kyung Jong | - |
dc.citation.volume | 38 | - |
dc.citation.number | 10 | - |
dc.citation.startPage | 680 | - |
dc.citation.endPage | 684 | - |
dc.identifier.bibliographicCitation | Korean Journal of Thoracic and Cardiovascular Surgery (대한흉부외과학회지), Vol.38(10) : 680-684, 2005 | - |
dc.date.modified | 2017-05-04 | - |
dc.identifier.rimsid | 43444 | - |
dc.type.rims | ART | - |
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