Author/Editor | Radovanović, Ninoslav; Nicin, S; Petrović, Lj; Jonjev, Z; Selestiansky, J; Fabri, M; Mihajlović, B; Mijatov, M | |
Title | Myocardial revascularisation in patients with failing left ventricle: EF <- 30% | |
Type | članek | |
Source | In: Pajer Z, Štiblar-Martinčič D, editors. International symposium on cardiovascular diseases. Proceedings of the 29th memorial meeting devoted to prof. dr. Janez Plečnik; 1998 Dec 3-5; Ljubljana. Ljubljana: Medical faculty, Institute of histology and embryology, | |
Publication year | 1998 | |
Volume | str. 157-71 | |
Language | eng | |
Abstract | During the past 14 years 1844 patients (20.2%) with ejection fraction lower than 30% underwent myocardial revascularization. There were 1648 male and 196 female patients with average age of 54.5 years. The majority of the patients (55%) had previous myocardial infarction on anterior wall, 27% of them on the posteroinferor, and 12% on both walls. Postoperative mortality in the whole group of 1844 pts was 3.6% and for the group of patients with ejection fraction lower then 20% it was 7.5%. The majority of them died due to cardiac causes. From the group of 290 analysed coronary patients, there were 56 pts (19%) with poor left ventricular function - ejection fraction of 30% and lowr. We have compared results at 9 years and have found statistically significant difference insurvival between the group of the patient with ejection fraction higher than 30% (89.45% +- 2.3 at 9 years) and those with failing left ventricle (66.31% +- 6.6 at 9 years). Our operative risk in patients with poor left ventricular function - ejection fraction <= 30% is 3.6% and is low, compared with the data of the literature. The long term result shows survival of 66% at 9 years. We conclude that this severe group of coronary patients can derive benefit from myocardial revascularization. | |
Descriptors | MYOCARDIAL REVASCULARIZATION VENTRICULAR DYSFUNCTION, LEFT CORONARY ARTERY BYPASS POSTOPERATIVE COMPLICATIONS CARDIAC OUTPUT, LOW ENDARTERECTOMY CORONARY DISEASE |