Coronary Artery Bypass Grafting Surgery for Patients with Systemic Autoimmune Diseases: Institutional Experience

İbrahim Çağrı Kaya, Halil İbrahim Bulut, Merih Özbayburt, Ozan Onur Balkanay

Volume 6 · Issue 1 · pp. 169–177

Published: 2023-04-30

Abstract

Aim: Systemic autoimmune diseases are risk factors for cardiovascular diseases and have also been identified as a factor that worsens perioperative outcomes in various surgical specialities. This study investigated the effects of systemic autoimmune diseases on coronary surgery outcomes. Methods: One hundred fifty -one patients were included in this study. hundred-forty-four patients without autoimmune disease were in the first group and seven patients with systemic autoimmune disease who underwent isolated coronary surgery were in the second group. Hospital Electronic re - cording systems were used for data co llection. The follow -up period is 12 months. A statistically significant P value was taken as 0.05. Results: The two groups were comparable preoperatively, only the prevalence of hypertension and diabetes was significantly higher in the second group. The re was no significant difference between the two groups in terms of intraoperative variables. Perioperative complications (excluding stroke), 30-day mortality and post-operative cardiopulmonary resuscitation rate were significantly higher in the second gro up, however there was no difference between the two groups in terms of 12 -month survival. Conclusions: Despite systemic autoimmune diseases being found a factor that increases complica - tions in terms of coronary surgery, coronary surgery is promising with its success in 12-month sur- vival and repeated revascularization rate in these patients.

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