Severe obesity does not adversely affect perioperative mortality and morbidity in coronary artery bypass surgery

Objective: Obese patients are usually thought to have an increased risk for complications in coronary artery bypass surgery. Methods: Therefore, the data of 500 consecutive patients undergoing coronary artery bypass grafting at our department in 1998 by use of cardiopulmonary bypass were analyzed. S...

Full description

Saved in:
Bibliographic Details
Published in:European journal of cardio-thoracic surgery 2001-05, Vol.19 (5), p.662-666
Main Authors: Brandt, Michael, Harder, Kristina, Walluscheck, Knut P., Schöttler, Jan, Rahimi, Aziz, Möller, Frank, Cremer, Jochen
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Body Mass Index
Coronary Artery Bypass - adverse effects
Coronary Artery Bypass - mortality
Coronary artery bypass surgery
Coronary Disease - complications
Female
Humans
Male
Medical sciences
Middle Aged
Morbidity
Obesity
Obesity - complications
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective: Obese patients are usually thought to have an increased risk for complications in coronary artery bypass surgery. Methods: Therefore, the data of 500 consecutive patients undergoing coronary artery bypass grafting at our department in 1998 by use of cardiopulmonary bypass were analyzed. Severe obesity was defined as body mass index (BMI) ≧30.0 kg/m2. Obese patients (n=100; group O) were compared to the remaining 400 patients (group C). Both groups were comparable with respect to sex, history of prior myocardial infarction, chronic obstructive pulmonary disease, previous stroke, duration of cardiopulmonary bypass, aortic cross-clamp time and number of distal anastomoses performed. Obese patients were slightly younger and diabetes and hypertension were more common in these patients. Results: Survival and potential complications including perioperative myocardial infarction, sternal wound infection, wound infection at the leg, renal failure, stroke, prolonged mechanical ventilation, pneumonia, reexploration for bleeding, and atrial arrhythmias were analyzed. No significant differences between obese and non-obese patients were detected. Conclusion: Severe obesity does not necessarily adversely affect perioperative mortality and morbidity in patients undergoing coronary artery bypass grafting in this study.
ISSN:1010-7940
1873-734X
DOI:10.1016/S1010-7940(01)00647-9