Tip 2 diyabetik hastalarda koroner cerrahi sonrası, aortik çapın mortalite üzerine etkisinin araştırılması: klinik deneyimimiz

Investigating of Aortic Diameter affect on Mortality in Type 2 Diabetic Patients after Coronary Surgery: in our clinic experience

Özet

Amaç: Valvüler patolojisi olmayan normal sınırlarda kabul edilen aortik sinotubular junctional çap SJD ' a sahip Tip 2 diyabetik hastalarda, SJD' si üst elli persentilde kalanlar ile alt elli persentilde kalanların, Koroner arter bypas greft operasyonu KABGO sonrasında görülen mortalitelerindeki farkın istatiksel anlamlığı araştırıldı. Yöntem: : Ocak 2008 – Ağustos 2011 tarihleri arasında, Kalp ve Damar Cerrahisi KVC Kliniğinde, Assending aorta çapı cerrahi sınırın altında olan

Abstract

Objective: To compare the patients with a sinotubular junction diameter SJD in the upper percentile and those with a SJD in the lower percentile in terms of the mortality rates following coronary artery bypass grafting CABG among type 2 diabetic patients with a SJD within the normal limits who had no valvular pathology. Method: One hundred and fifty-five type 2 diabetic patients with an ascending aorta diameter below the surgical limit 3.1 cm constituted Group 2. Deaths within 30 days following the surgery were included in the study. Results: Two patients in Group 1, four patients in Group 2 died. The causes of death were massive ischemic encephalopathy in one patient, multi-organ failure in three patients, and low cardiac output syndrome in two patients. Conclusion: There was no significant difference between Group 1 and Group 2 patients in terms of mortality rates after CABG 2/72 vs. 4/83, p=0.686 .

Anahtar kelimeler: Tip 2 Diyabet, Koroner Arter Bypas Greftleme, Torasik Aorta, Mortalite oranı.