Affiliation
Department of Cardiothoracic Surgery, Cork University Hospital.Issue Date
2012-02-03T15:15:59ZMeSH
*Coronary Artery Bypass/adverse effectsCoronary Disease/*complications/*surgery
Diabetes Mellitus, Type 1/*complications
Diabetes Mellitus, Type 2/*complications
Female
Graft Survival
Humans
Incidence
Male
Matched-Pair Analysis
Middle Aged
Morbidity
*Postoperative Complications/epidemiology
Prognosis
Metadata
Show full item recordCitation
Ir J Med Sci. 1995 Apr-Jun;164(2):136-8.Journal
Irish journal of medical sciencePubMed ID
7607839Abstract
Coronary artery and peripheral occlusive arterial disease frequently complicate diabetes mellitus, with death due to atherosclerotic coronary artery disease being three times more likely in diabetic compared to non-diabetic patients. The profile of 32 diabetic patients and 32 matched controls who underwent coronary artery bypass (CABG) is studied and their early and late postoperative outcomes are described. The mean age was 61 +/- 1 year in both groups. The diabetic group comprised 26 non-insulin dependent and 6 insulin dependent diabetics, who had a mean duration of diabetes of 8.5 years (range 2 months--35 years). The median number of grafts per patient performed in the diabetic group and the control group was 3.5 and 3 respectively. There was no mortality in the series, however considerably greater wound morbidity rates were encountered in the diabetic group when compared to matched controls. One renal transplant patient in the diabetic group suffered irreversible acute tubular necrosis and became dialysis dependent post-operatively. Longterm follow-up showed no longterm mortality in either group, with full relief of angina achieved in 75% of diabetic patients compared with 87.5% of matched controls. In addition diabetic patients suffered greater longterm cardiac morbidity than the control group (21.8% versus 12.5%). The results of this study suggest that CABG is a safe operation for the diabetic patient. Diabetic patients receive satisfactory symptomatic relief of angina, but suffer increased perioperative wound complications and greater incidence of longterm cardiac morbidity.Language
engISSN
0021-1265 (Print)0021-1265 (Linking)
Collections
Related articles
- Efficacy of multiple arterial coronary bypass grafting in patients with diabetes mellitus.
- Authors: Yamaguchi A, Kimura N, Itoh S, Adachi K, Yuri K, Okamura H, Adachi H
- Issue date: 2016 Sep
- Coronary artery bypass grafting in type II diabetic patients: a comparison between insulin-dependent and non-insulin-dependent patients at short- and mid-term follow-up.
- Authors: Luciani N, Nasso G, Gaudino M, Abbate A, Glieca F, Alessandrini F, Girola F, Santarelli F, Possati G
- Issue date: 2003 Oct
- Improved survival in asymptomatic diabetic patients with high-risk SPECT imaging treated with coronary artery bypass grafting.
- Authors: Sorajja P, Chareonthaitawee P, Rajagopalan N, Miller TD, Frye RL, Hodge DO, Gibbons RJ
- Issue date: 2005 Aug 30
- On-pump versus off-pump coronary artery bypass grafting in diabetic patients: a propensity score analysis.
- Authors: Srinivasan AK, Grayson AD, Fabri BM
- Issue date: 2004 Nov
- Coronary artery bypass surgery in diabetic patients.
- Authors: Brandt M, Harder K, Walluscheck KP, Fraund S, Böning A, Cremer J
- Issue date: 2004 Jan-Feb