Effect of Gender on Postoperative Outcome and Duration of Ventilation After Coronary Artery Bypass Grafting (CABG).

INTRODUCTION: The study assessed coronary artery bypass grafting (CABG) postoperative outcomes and associated factors in Saudi male and female patients. This was a retrospective cohort of patients who underwent CABG at the King Abdulaziz University Hospital (KAUH), Jeddah, Saudi Arabia, from January 2015 to December 2022.  Results: We included 392 patients, of whom 63 (16.1%) were female. Female undergoing CABG were significantly older (p=0.0001), had a significantly higher incidence of diabetes (p=0.0001), obesity (p=0.001), hypertension (p=0.001), and congestive heart failure (p=0.005), with a smaller body surface area (BSA) (p=0.0001) than male. Though renal dysfunction, previous cerebrovascular accident/transient ischemic attack (CVA/TIA), and myocardial infarction (MI), incidences were similar in both genders. Females were at significantly higher risk of mortality (p=0.0001), longer hospital stay (p=0.0001), and prolonged ventilation (p=0.0001). Preoperative renal dysfunction was the only statistically significant predictor of postoperative complications (p=0.0001). Female gender and preoperative renal dysfunction, were significant independent predictors of postoperative mortality and prolonged ventilation (p=0.005). CONCLUSION: This study's findings indicated that females have worse CABG outcomes and a higher risk of morbidities and complications. Uniquely our study showed a higher incidence of prolonged ventilation in females postoperatively.

A Rare Case of Atypical Fibroxanthoma of the Thigh in an Elderly Patient.

Atypical fibroxanthoma (AFX) is a rare low-grade soft tissue tumor that manifests in sun-damaged skin on the head or neck of elderly patients, although it can occur anywhere else in the body. In this case, we report the presence of AFX on the right thigh of a 70-year-old white female. Upon presentation, she complained of a painless mass on her thigh with no family history of AFX or sun exposure. The mass had previously been managed by incision and drainage, with no improvement. The patient underwent a biopsy, revealing a diagnosis of AFX, which was managed by surgical removal of the neoplasm with appropriate safety margins.