Evidence map›Paper›PMID 41444908›Full record

ArticleJournal of cardiothoracic surgery2025

Impact of surgical urgency on outcomes after minimally invasive coronary artery bypass surgery: a retrospective cohort study.

Hemn Abdulrahman Abdullah, Darya Nadir Saeed, Abdullah Hayder Flaih, Marwan Abdullah Barzani

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Article in Journal of cardiothoracic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Hemn Abdulrahman AbdullahDepartment of Cardiovascular and Thoracic Surgery, Ministry of Health, Erbil, Iraq.
Darya Nadir SaeedDepartment of Cardiovascular and Thoracic Surgery, Ministry of Health, Erbil, Iraq.
Abdullah Hayder FlaihDepartment of Biology, College of sciences, Salahaddin University-Erbil, Erbil, Iraq. abdullahaider2988@gmail.com.
Marwan Abdullah BarzaniHawler Teaching Hospital, Ministry of Health, Erbil, Iraq. marwanahb1999@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical urgency in minimally invasive coronary artery bypass grafting (MICS-CABG) is associated with increased perioperative risk. This study evaluates the impact of surgical urgency on early postoperative outcomes in patients undergoing isolated MICS-CABG.

methodsA retrospective cohort study was conducted at Shar Hospital, Erbil, Iraq, including 311 patients who underwent isolated MICS-CABG between September 2021 and December 2024. Patients were classified as elective group (n = 285) and urgent group (n = 26) according to Society of Thoracic Surgeons criteria. Baseline demographics, intraoperative variables, and early postoperative outcomes were compared using appropriate statistical tests with a significance level of p < 0.05.

resultsBaseline characteristics, including, gender, and body mass index, showed no significant differences between elective and urgent groups. However, the urgent group had significantly lower preoperative left ventricular ejection fraction (49.2% ± 12.0 vs. 53.8% ± 10.0, p = 0.032) and higher preoperative serum creatinine levels (1.59 ± 1.58 vs. 1.19 ± 1.94 mg/dL, p = 0.008). Intraoperatively, urgent patients required more vasopressor support (adrenaline: 26.9% vs. 10.2%, p = 0.020; noradrenaline: 73.1% vs. 40.7%, p = 0.001). Postoperatively, urgent cases had higher serum creatinine (1.86 ± 1.79 vs. 1.14 ± 0.58 mg/dL, p = 0.037) and more frequent incidence of acute respiratory failure in urgent group (39.1% vs. 17.5%, p = 0.023).

conclusionsUrgent MICS-CABG was associated with increased vasopressor use, renal dysfunction, and respiratory complications.

trial registrationNot applicable.

Indexed as

Coronary Artery BypassCoronary Artery DiseaseMinimally Invasive Surgical ProceduresPostoperative ComplicationsAgedFemaleHumansIraqMaleMiddle AgedRetrospective StudiesTreatment OutcomeAcute respiratory failure.Coronary artery bypass graftingMinimally invasive cardiac surgeryPostoperative outcomesRenal dysfunctionSurgical urgencyVasopressor support

Identifiers

PMID41444908
PMCPMC12849472

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.