Predictors of nephrological morbidity after coronary artery bypass surgery.

Aim: The aim of this study was to analyse the nephrological morbidity after myocardial revascularization.

Methods And Results: We analysed the pre- per and postoperative data of 3815 patients who underwent a primary isolated coronary bypass grafting between January 1987 and December 1995. Nephrological complications were divided into renal dysfunction and requiring dialysis.

Surface of localized pleural plaques quantitated by computed tomography scanning: no relation with cumulative asbestos exposure and no effect on lung function.

To evaluate if there is a relation between the size of asbestos plaques and the level of past exposure and pulmonary function, we measured the surface of localized pleural plaques found on high-resolution (HR) CT scan, using a computerized video display unit-imaging system, in 73 workers (mean age, 43.5 yr) who had worked from 23 to 27 yr in an asbestos-cement factory. Their estimated cumulative exposure to asbestos ranged from 16.

Concomitant coronary artery revascularization and right pneumonectomy without cardiopulmonary bypass.

Combined coronary artery bypass grafting (CABG) and pneumonectomy has a high morbidity and mortality rate, especially when the right lung has to be removed. A patient is described who underwent a CABG operation through a midline sternotomy without the use of cardiopulmonary bypass (CPB), and a right pneumonectomy through a right lateral thoracotomy in one operative session. To our knowledge, this is the first case in which this operative strategy was employed.

Predictors of neurological morbidity after coronary artery bypass surgery.

Objective: The aim of this study was to analyze the postoperative neurological complications after myocardial revascularization.

Methods: We analyzed the pre-, peri- and postoperative data of 3834 patients who underwent a primary isolated bypass grafting between January 1987 and December 1995. Postoperative neurological complications (A) were divided into mild complications (B) and major complications (C).

Myocardial revascularization in patients < or = 45 years old: evaluation of cardial and functional capacity, and return to work.

Objective: To investigate whether patients < or = 45 years old benefit from myocardial revascularization, measured by New York Heart classification, functional status and return to work.

Methods: The data of 188 consecutive patients 45 years old and younger, and who were undergoing primary isolated aortocoronary bypass operation, were studied. Follow-up information was obtained from our follow-up databank.