Introduction: In this
study we examined the early results of coronary artery bypass surgery in our female
patients and compared them with those of our male patients. Material and
Methods: One thousand and ninety four patients who underwent coronary artery
bypass surgery between January 2009 and December 2011 inour clinic were included into this study.
Three hundred and thirteen female patients (group 1) were compared to 781 male
patients (group 2). Results: The mean age of group 1 was 61.4 ± 9.6, and the
mean age of group 2 was 58.1 ± 9.6 (p < 0.001). The ratio of diabetes
mellitus and hypertension in group 1 was higher than that of group 2 (p < 0.001).
There were no significant difference between two groups when compared regarding
the need for inotropics after weaning from cardiopulmonary bypass, cross clamp
and total cardiopulmonary bypass periods (p > 0.05). It was found that the
amount of drainage was higher in group 1 than group 2 (p < 0.001). There was
no significant difference between two groups when compared in terms of
mortality, re-operation (because of bleeding), postoperative atrial
fibrillation, need for intraaortic balloon pump, usage of levosimendan,
cerebrovascular accident, chronic renal failure, discharging intervals and period
in intensive care unit. It was found that sternal wound infection was higher
in group 1 than group 2 (p < 0.05). Conclusion: We consider that female gender
does not put an additional risk to increase mortality and morbidity in coronary
artery bypass surgery.
Cite this paper
Cakir, H. , Uncu, H. , Gur, O. , Acipayam, M. , Yurekli, I. and Ibrahim, O. (2013) Is coronary artery bypass surgery riskier in female?. World Journal of Cardiovascular Diseases, 3, 46-48. doi: 10.4236/wjcd.2013.31010.
 Kayikcioglu, M., (2010) Ischemic heart disease in women. Archives of the Turkish Society of Cardiology, 38, 41-49.
 Alam, M., Lee, V.V., Elayda, M.A., Shahzad, S.A., Yang, E.Y., Nambi, V., et al. (2012) Association of gender with morbidity and mortality after isolated coronary artery bypass grafting. A propensity score matched analysis. International Journal of Cardiology.
 Koch, C.G., Khandwala, F., Nussmeier, N. and Blackstone, E.H. (2003) Gender and outcomes after coronary artery bypass grafting: A propensity-matched comparison. The Journal of Thoracic and Cardiovascular Surgery, 126, 2032-2043. doi:10.1016/S0022-5223(03)00950-4
 Ford, E.S. and Ca-pewell, S. (2007) Coronary heart disease mortality among young adults in the U.S. from 1980 through 2002: Concealed leveling of mortality rates. Journal of the American College of Cardiology, 50, 2128-2132. doi:10.1016/j.jacc.2007.05.056
 Goksedef, D., Omeroglu, N.S., Balkanay, O.O., Talas, Z., Arapi, B. and Ipek, G. (2012) Coronary artery bypass in women: What is really different? Türk G??üs Kalp Damar Cerrahisi Dergisi, 1, 8-13.
 Aldea, G.S., Gaudiani, J.M., Shapira, O.M., Jacobs, A.K., Weinberg, J., Cupples, A.L., et al. (1999) Effect of gender on postoperative outcomes and hospital stays after coronary artery bypass grafting. The Annals of Thoracic Surgery, 67, 1097-1103.
 Spencer, E.A., Pirie, K.L., Stevens, R.J., Beral, V., Brown, A., Liu, B., et al. (2008) Million women study collaborators. Diabetes and modifiable risk factors for cardiovascular disease: The prospective million women Study. European Journal of Epidemiology, 23, 793-799.
 Saxena, A., Dinh, D., Smith, J.A., Shardey, G., Reid, C.M. and Newcomb, A.E. (2012) Sex differences in out-comes following isolated coronary artery bypass graft surgery in Australian patients: Analysis of the Australasian Society of Cardiac and Thoracic Surgeons cardiac surgery database. European Journal Cardio-Thoracic Surgery, 41, 755-762. doi:10.1093/ejcts/ezr039
 Fakih, M.G., Sharma, M., Khatib, R., Berriel-Cass, D., Meisner, S., Harrington, S, et al. (2007) Increase in the rate of sternal surgical site infection after coronary artery bypass graft: A marker of higher severity of illness. Infection Control and Hospital Epidemiology, 28, 655-660.
 Parolari, A., Dainese, L., Naliato, M., Polvani, G., Loardi, C., Trezzi, M., et al. (2008) Do women currently receive the same standard of care in coronary artery bypass graft procedures as men? A propensity analysis. The Annals of Thoracic Surgery, 85, 885-890.