Does pulmonary hypertension affect early-term outcomes of off-pump coronary artery bypass surgery?

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dc.authorid0000-0003-4709-4705en_US
dc.authorid0000-0003-0021-6509en_US
dc.authorid0000-0001-7053-2131en_US
dc.authorid0000-0002-6107-2943en_US
dc.authorid0000-0002-6913-9073en_US
dc.authorid0000-0003-3655-1595en_US
dc.contributor.authorVelioğlu, Yusuf
dc.contributor.authorYüksel, Ahmet
dc.contributor.authorTopal, Dursun
dc.contributor.authorKorkmaz, Ufuk Turan Kürşat
dc.contributor.authorDönmez, İbrahim
dc.contributor.authorBadem, Serdar
dc.contributor.authorUçaroğlu, Erhan Renan
dc.date.accessioned2023-08-07T10:09:40Z
dc.date.available2023-08-07T10:09:40Z
dc.date.issued2022en_US
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractOBJECTIVE: This study aimed to investigate the effect of preoperative pulmonary hypertension (PHT) on postoperative early mortality and morbidity in patients undergoing off-pump coronary artery bypass grafting (CABG).METHODS: A total of 1107 patients undergoing elective first-time off-pump CABG between January 2011 and April 2022 were included in this retrospective observational cohort study. The patients were categorized into two groups according to their preoperative systolic pulmonary artery pressure (SPAP) values. The PHT group (n=104) consisted of patients with a SPAP value >30 mmHg, while the non-PHT group (n=1003) consisted of patients with a SPAP value <= 30 mmHg. Patients' preoperative demographics and clinical features, operative data, and postoperative outcomes were recorded and then compared between the groups.RESULTS: In the PHT group, the median age was significantly higher (66 vs. 63 years, p=0.001) and the median left ventricular ejection fraction level was significantly lower (45 vs. 50%, p=0.045) as compared to the non-PHT group. Additionally, the PHT group included a significantly greater percentage of patients with chronic obstructive pulmonary disease (22.1 vs. 7.4%, p=0.019). As perioperative early-term outcomes, complications, and mortality were considered, the groups were statistically similar, and there were no significant differences between the groups, except for the development of atrial fibrillation.CONCLUSION: For the first time in the literature, this study revealed that mild PHT (mean SPAP=38.9 +/- 8.7 mmHg) did not significantly affect early -term outcomes of off-pump CABG.en_US
dc.identifier.citationVelioglu, Y., Yuksel, A., Topal, D., Korkmaz, U. T. K., Donmez, I., Badem, S., & Ucaroglu, E. R. (2022). Does pulmonary hypertension affect early-term outcomes of off-pump coronary artery bypass surgery?. Revista da Associação Médica Brasileira, 68, 1747-1752.en_US
dc.identifier.doi10.1590/1806-9282.20220941
dc.identifier.endpage1752en_US
dc.identifier.issn0104-4230
dc.identifier.issn1806-9282
dc.identifier.issue12en_US
dc.identifier.pmid36449805en_US
dc.identifier.scopus2-s2.0-85144591751en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage1747en_US
dc.identifier.urihttp://dx.doi.org/10.1590/1806-9282.20220941
dc.identifier.urihttps://hdl.handle.net/20.500.12491/11444
dc.identifier.volume68en_US
dc.identifier.wosWOS:000904384200029en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorVelioğlu, Yusuf
dc.institutionauthorKorkmaz, Ufuk Turan Kürşat
dc.institutionauthorDönmez, İbrahim
dc.language.isoenen_US
dc.publisherAssoc Medica Brasileiraen_US
dc.relation.ispartofRevista da Associacao Medica Brasileiraen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPulmonary Hypertensionen_US
dc.subjectOutcomesen_US
dc.subjectMortalityen_US
dc.subjectMorbidityen_US
dc.subjectCoronary Artery Bypass Graftingen_US
dc.subjectNon-PHT Groupen_US
dc.titleDoes pulmonary hypertension affect early-term outcomes of off-pump coronary artery bypass surgery?en_US
dc.typeArticleen_US

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