A single-centre experience of coronary revascularisation in young patients

Background Coronary bypass grafting is probably the most extensively studied surgical technique; however, the reported data on its outcome in the younger population are relatively scarce. We present our 10-year experience with young patients undergoing coronary revascularisation. Patients and method Fifty-one patients, 40 years or younger, underwent coronary bypass surgery in our institution, between January 2003 and December 2012. Relevant preoperative and intraoperative clinical data were retrieved from the patient’s medical records. Follow-up data was obtained by personal or telephonic interview of the patients or relatives. Results Out of 51 patients (4 females, 47 males), with a mean age of 37.35 ± 3.25 years (range 27–40 years), 47 patients underwent off-pump coronary artery bypass and the rest underwent on-pump beating heart coronary artery bypass. Indication for surgery was triple-vessel disease (TVD) in 24 patients (47 %), double-vessel disease (DVD) in 9 patients (17.7 %) and single-vessel disease (SVD) in 18 patients (35.3 %). A total of 104 grafts (51 with left internal thoracic artery, 10 with radial artery and 43 with saphenous vein) were constructed, with a mean of 2.04 ± 0.94 grafts per patient. There was no in-hospital or 30-day mortality. Mean ICU stay was 2.33 ± 0.76 days and mean hospital stay was 7.2 ± 1.6 days (range 5–13 days). Cumulative follow-up was 256.53 years (mean 5.03 ± 3.19 years); follow-up was 90.2 % complete. Actuarial probability of survival at 10 years was estimated to be 91.1 %. Conclusion Early and midterm results of coronary artery bypass surgery in young patients are excellent.