8.Short-Term Outcome of bilateral Internal Mammary Artery Harvesting
Muhammad Moeen, Shafqat Hussain, Iftikhar Paras, Muhammad Ali Khan and Muhammad Hamid Chaudhary
ABSTRACT
Objective: To describe our experience about the short-term outcome of bilateral internal mammary artery (BIMA) harvesting for coronary artery bypass grafting (CABG) at our tertiary care hospital.
Study Design: Prospective Cross-sectional study
Place and Duration of Study: This study was conducted at the Ch. Pervaiz Elahi Institute of Cardiology, Multan, Pakistan from January 2018 to December 2020.
Materials and Methods: A total of 42 patients of both genders undergoing BIMA harvesting for CABG were included. Among these cases, both left and right Internal mammary arteries were harvested by semi skeletonization technique. Demographic characteristics along with clinical features, comorbid conditions, underlying diseases and severity were recorded among all study cases. Short-term outcomes in terms of 3-months operative death, stroke, renal dysfunction or renal failure, need for re-operation, duration of ventilation, superficial and deep wound infection, and arrhythmias were noted for possible outcomes among all study cases.
Results: Among a total of 42 cases, mean age was noted to be 49.52+8.1 years while most the patients, 23 (54.8%) were between 40 to 60 years of age. There were 39 (92.9%) male patients while mean BMI was noted to be 25.1+3.6 kg/m2. Hypertension was the most commonly found co-morbidity noted among 34 (81.0%) patients, dyslipidemia in 24 (57.1%) while diabetes mellitus was noted in 18 (42.9%). There were 31 (73.8%) patients who were found to have triple vessels disease. Mean number of anastomosis were recorded to be 3.62+0.85. Mean duration of ICU stay was recorded to be 6.14+1.78 days. Superficial wound infection was noted in 2 (4.8%) patients while pleural effusion was the commonest post-operative complications seen in 4 (9.5%) patients. No mortality was recorded.
Conclusion: The short-term outcome of bilateral internal mammary artery harvesting was found to be acceptable.
Key Words: Mammary Arteries, coronary artery bypass, dyslipidemia.
Citation of article: Moeen M, Hussain S, Paras I, Khan MA, Chaudhary MH. Short-Term Outcome of bilateral Internal Mammary Artery Harvesting. Med Forum 2021;32(8):33-36.