Author/Editor     Radovanović, Ninoslav; Nicin, Svetozar; Petrović, Ljuborad; Seleštiansky, Jan; Fabri, Mikloš; Mihajlović, Bogoljub; Kovačević, Pavle; Jonjev, Živojin; Konstantinović, Zoran
Title     Myocardial revascularization in end stage heart failure
Type     članek
Source     In: Štiblar-Martinčič D, Petrovič D, editors. Cardiovascular diseases. Proceedings of the 32nd memorial meeting devoted to professor Janez Plečnik, International symposium in memory of professor Rene Favaloro; 2001 Dec 6-8; Ljubljana. Ljubljana: Medical faculty,
Publication year     2001
Volume     str. 69-77
Language     eng
Abstract     Material and methods: There were 407 patients (362 male, 45 female, mean age 58.1 years) in end-stage heart failure - ejection fraction (EF) lower or equal to 20%, who had undergone conventional surgery - myocardial revascularisation and in 33% (137/407) associated procedures such as mitral and tricuspid annuloplasty, left ventricular aneurysmectomy, etc. Previous cardiac decompensation was registered in 81% ofthe patients. Mean EF was 18.9+-2.2% (10-20%), mean cardiac index 2.5+-0.5 lit/min/mz (1.2-3.6 lit/min/mz), mean systolic pulmonary artery pressure 38.0+-13.5 mmHg (14-100 mmHg) and mean wedge 28.3+-9.4 mmHg (10-60 mmHg). Because of diffuse and distal coronary disease in 55% (224/407) of the patients endarterectomy of coronary arteries had to be performed. Results: Postoperative mortality (PM) - 30 days was 8.1% (33/407). The follow-up study was done for 216 pts. (Abstract truncated at 2000 characters).
Descriptors     HEART FAILURE, CONGESTIVE
MYOCARDIAL REVASCULARIZATION
SURVIVAL RATE
ENDARTERECTOMY