BACKGROUND: Thrombolysis and angioplasty in the first hours after @entity583 minimize @entity39 , leading to better early and late survival, but these therapies have limited effect in @entity1 with @entity66 and @entity1455 . Emergency coronary surgery is an alternative treatment in some cases. AIM: To assess perioperative complications, mortality and long-term survival in @entity1 undergoing coronary surgery within 24 h of @entity583 . @entity1 AND METHODS: We retrospectively studied 57 @entity1 undergoing surgery within 24 h of the onset of symptoms of @entity583 between 1982 and 1998. @entity66 was present in 31 @entity1 (54%), @entity1457 or @entity1167 in 19 (33%) and coronary angiography complications in 7 (12%). The mean time between onset of symptoms and surgery was 6.32 h. At the beginning of surgery 32 @entity1 (56%) were hemodynamically stable, 15 (26%) were in @entity1457 and 10 (17%) were in @entity1167 . RESULTS: The operative mortality was 0% for those who were hemodynamically stable at the start of surgery and 44% (11 of 25 @entity1 ) for those in @entity1457 or @entity1167 . Shock or prior @entity1167 were associated with higher rates of sternal infection and @entity712 and longer hospital stays.Follow-up (mean 67 months) was possible for all remaining @entity1 . The 5- and 10-year survival rates were 89 and 82%, respectively, for @entity1 who were hemodynamically stable at the time of surgery. Five-year survival was 55%, however, for those who underwent surgery in @entity1457 or @entity1167 . The overall rate of freedom from @entity583 , angioplasty or reoperation was over 95% at 5 years and over 85% at 10 years of follow-up. Age and @entity1457 or @entity1167 were risk factors for a poor long-term outcome. CONCLUSION: The early and long-term outcome of coronary surgery within 24 h of @entity583 is good for @entity1 who are hemodynamically stable when surgery begins. Shock and @entity1167 are important risk factors for complication and @entity204 . Coronary artery bypass grafting is a good treatment option in the first hours after @entity583 .

[Coronary artery surgery in the first 24 hours after XXXX ].

@entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity712 :: ('MESH:D006333', 'Disease') :: ['heart failure'] @entity66 :: ('MESH:D004194', 'Disease') :: ['Multiple vessel disease', 'three-vessel disease'] @entity39 :: ('MESH:D009336', 'Disease') :: ['necrosis'] @entity1457 :: ('MESH:D012769', 'Disease') :: ['shock'] @entity1167 :: ('MESH:D006323', 'Disease') :: ['cardiac arrest'] @entity583 :: ('MESH:D009203', 'Disease') :: ['myocardial infarction'] @entity1455 :: ('MESH:D012770', 'Disease') :: ['cardiogenic shock'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death']
@entity583 :: (MESH:D009203,Disease) :: ['myocardial infarction']
