Abstract
ObjectiveThe present study investigated effect of using pump on postoperative pleural effusion in patients who underwent coronary artery bypass grafting.MethodsA total of 256 patients who underwent isolated coronary artery bypass grafting surgery in the Cardiovascular Surgery clinic were enrolled in the study. Jostra-Cobe (Model 043213 105, VLC 865, Sweden) heart-lung machine was used in on-pump coronary artery bypass grafting. Off-pump coronary artery bypass grafting was performed using Octopus and Starfish. Proximal anastomoses to the aorta in both on-pump and off-pump techniques were performed by side clamps. The patients were discharged from the hospital between postoperative day 6 and day 11.ResultsThe incidence of postoperative right pleural effusion and bilateral pleural effusion was found to be higher as a count in Group 1 (on-pump) as compared to Group 2 (off-pump). But the difference was not statistically significant [P>0.05 for right pleural effusion (P=0.893), P>0.05 for bilateral pleural effusion (P=0.780)]. Left pleural effusion was encountered to be lower in Group 2 (off-pump). The difference was found to be statistically significant (P<0.05, P=0.006).ConclusionUnder the light of these results, it can be said that left pleural effusion is less prevalent in the patients that underwent off-pump coronary artery bypass grafting when compared to the patients that underwent on-pump coronary artery bypass grafting.
Highlights
Coronary artery bypass surgery (CABG) is one of the operations most frequently performed all over the world
Conventional CABG is performed by using cardiopulmonary bypass (CPB) device and called as on-pump CABG, whereas CABG performed without using CPB is called as off-pump CABG
The present study investigated effect of using pump on postoperative pleural effusion in the cases that underwent CABG, as well as the statistical significance of this effect
Summary
Coronary artery bypass surgery (CABG) is one of the operations most frequently performed all over the world. Postoperative complications are never desirable, they may sometimes be inevitable for some patients. Pleural effusion following CABG is still being encountered despite all efforts of cardiovascular surgeons. It has been reported that pleural effusion occurs in 41%87% of the patients in the postoperative very early period[1,2,3,4]. Pleural effusions that occur following coronary bypass surgery can be classified according to the development period as very early period (within postoperative one week) (perioperative), early period (between postoperative one week and one month), late period (between postoperative two and 12 months), and very late period (after postoperative 6 months, permanent)[5]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
