Myocardial Surgical Revascularization in Patients with Reduced Left Ventricular Ejection Fraction.
Myocardial Surgical Revascularization
Reduced Left Ventricular Ejection Fraction
Journal
Medical archives (Sarajevo, Bosnia and Herzegovina)
ISSN: 1986-5961
Titre abrégé: Med Arch
Pays: Bosnia and Herzegovina
ID NLM: 101635337
Informations de publication
Date de publication:
Dec 2022
Dec 2022
Historique:
received:
04
11
2022
accepted:
10
12
2022
entrez:
20
3
2023
pubmed:
21
3
2023
medline:
22
3
2023
Statut:
ppublish
Résumé
Myocardial surgical revascularization in patients with low left ventricular ejection fraction (LVEF) is accompanied by a high rate of morbidity and mortality. The aim of this study was to investigate and eliminate the reasons for the most common perioperative and postoperative complications. A total of 64 were analyzed. of patients during 2019 who underwent coronary artery bypass grafting (CABG), average age 61.29±9.12 years. Out of the total number of operated patients, there were 16 women and 48 men. Patients were divided into two groups. The first group consisted of patients who underwent surgery with the use of cardiopulmonary bypass (cCABG-CPB) and the second group those who underwent surgery without the use of cardiopulmonary bypass (OPCAB). In 41 patients, myocardial infarction was previously recorded. Critical stenosis of the main trunk of the left coronary artery was present in 14 patients. The incidence of postoperative complications was higher in the cCABG-CPB 16/10 group (p0.030). In our study, we confirmed that myocardial revascularization is justified, especially in the case of multivessel coronary disease. In the long term, it significantly improves the systolic function of the left ventricle, and thus and quality and length of life.
Sections du résumé
Background
UNASSIGNED
Myocardial surgical revascularization in patients with low left ventricular ejection fraction (LVEF) is accompanied by a high rate of morbidity and mortality.
Objective
UNASSIGNED
The aim of this study was to investigate and eliminate the reasons for the most common perioperative and postoperative complications.
Methods
UNASSIGNED
A total of 64 were analyzed. of patients during 2019 who underwent coronary artery bypass grafting (CABG), average age 61.29±9.12 years.
Results
UNASSIGNED
Out of the total number of operated patients, there were 16 women and 48 men. Patients were divided into two groups. The first group consisted of patients who underwent surgery with the use of cardiopulmonary bypass (cCABG-CPB) and the second group those who underwent surgery without the use of cardiopulmonary bypass (OPCAB). In 41 patients, myocardial infarction was previously recorded. Critical stenosis of the main trunk of the left coronary artery was present in 14 patients. The incidence of postoperative complications was higher in the cCABG-CPB 16/10 group (p0.030).
Conclusion
UNASSIGNED
In our study, we confirmed that myocardial revascularization is justified, especially in the case of multivessel coronary disease. In the long term, it significantly improves the systolic function of the left ventricle, and thus and quality and length of life.
Identifiants
pubmed: 36937609
doi: 10.5455/medarh.2022.76.426-429
pmc: PMC10019873
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
426-429Informations de copyright
© 2022 Nedzad Kadric, Enes Osmanovic, Sevleta Avdic, Mirza Jahic, Stojan Rajkovic, Edis Salihovic.
Déclaration de conflit d'intérêts
None declared.
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