Hyperlactatemia and coronary artery bypass grafting: Review article | ||||
| Zagazig University Medical Journal | ||||
| Article 32, Volume 30, Issue 4, July 2024, Page 1339-1345 PDF (831.2 K) | ||||
| Document Type: Review Articles | ||||
| DOI: 10.21608/zumj.2024.285188.3353 | ||||
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| Authors | ||||
Gehad Saeed Bayoumy Fath Al-Bab Ibrahim  1; Mamdouh ElSharawy2; Karim ElFakharany3; Dina Ashraf Abdelhady4; Dina Said Shemais 5
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| 1Resident of Cardiothoracic Surgery Faculty of Medicine, Zagazig University | ||||
| 2Cardiothoracic Surgery, Faculty of Medicine, Zagazig University, Egypt | ||||
| 3Cardiothoracic surgery department, faculty of medicine, Zagazig university | ||||
| 4Clinical pathology Department, Faculty of Medicine, Zagazig University | ||||
| 5Department of Cardiothoracic Surgery, Faculty of Human Medicine, Zagazig University, Zagazig, Egypt | ||||
| Abstract | ||||
| Surgical revascularization is becoming more and more necessary for high-risk and elderly individuals with complicated coronary artery disease. After coronary artery bypass grafting (CABG), there is a substantial risk of both morbidity and death from cerebrovascular damage. The surgical approach used for CABG, and in particular the degree of aortic manipulation, has frequently been associated with the etiology of postoperative neurological problems, despite the possibility of several contributing factors. When revascularization (CABG) is necessary for coronary artery disease, the aortic clamping technique (SCT\DCT) is used. This approach affects the blood lactate level, which can lead to a number of postoperative problems. Elevated blood lactate level after cardiac surgery is an indicator of systemic hypoperfusion and tissue hypoxia. Our aim of the review was to evaluate the relationship between postoperative blood lactate levels and outcome in patients undergoing open heart surgery and to verify the clinical impact of hyperlactatemia (HL) and low lactemia (LL) after coronary artery bypass grafting (CABG) in terms of postoperative morbidity and mortality rate. | ||||
| Keywords | ||||
| Hyperlactatemia; CABG; cardiac surgery | ||||
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