DOI: 10.36347/sjams.2020.v08i12.019

Pages: 2783-2788

Background: Concomitant CABG patients in undergoing mitral valve replacement (MVR) has been shown to be an important risk factor for hospital mortality. Patients who have each mitral valve dysfunction and atherosclerotic coronary artery disease (CAD) kind a heterogeneous cluster in terms of origin of the control disease, extent of coronary atherosclerosis, left ventricular function, and hemodynamic standing at operation. Objective: To assess preoperative characteristics, postoperative complications, in-hospital mortality rate, and length of stay in hospital for patients undergoing concurrent CABG with MVR. Materials and Methods: Study were preoperative and postoperative clinical data from 175 patients undergoing concurrent CABG with MVR operation at Department of Cardiac Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh from Jun 2018 to July 2020 were collected and entered into a database. Information was obtained by clinical and case note review as well as detailed questionnaires to physicians and patients. Results: This study were 175 concurrent CABG with MVR operations performed on patients. The mean age of patients was 57.95 ± 10.54 years and 5.7% were under 40 years. Male/female ratio was 1.05 (male 51.4%, female 48.6%). The mean ejection fraction was 48.15 ± 10.14 and BMI ≥30 was 18.3%. Among studied patients, 18.3% and 2.9% underwent aortic and tricuspid valve replacement, respectively. In-hospital mortality was 6.9% and 96.0% of patients were hospitalized ≥14 days. History of congestive heart failure (P=0.027) and postoperative brain stroke (P=0.004) were independent predictors for in-hospital mortality. Conclusion: In conclusion, based on the outcome of this research, among postoperative characteristics, re-intubation and congestive heart failure were associated with in-hospital mortality after concurrent CABG with MVR operation. Therefore, exact considering and control of these characteristics before and after CABG and MVR are........