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. 2022 Dec;76(6):426-429.
doi: 10.5455/medarh.2022.76.426-429.

Myocardial Surgical Revascularization in Patients with Reduced Left Ventricular Ejection Fraction

Nedzad Kadric  1 , Enes Osmanovic  2 , Sevleta Avdic  2 , Mirza Jahic  3 , Stojan Rajkovic  3 , Edis Salihovic  4
Affiliations

Myocardial Surgical Revascularization in Patients with Reduced Left Ventricular Ejection Fraction

Nedzad Kadric et al. Med Arch. 2022 Dec.

Abstract

Background: Myocardial surgical revascularization in patients with low left ventricular ejection fraction (LVEF) is accompanied by a high rate of morbidity and mortality.

Objective: The aim of this study was to investigate and eliminate the reasons for the most common perioperative and postoperative complications.

Methods: 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: 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: 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.

Keywords: Myocardial Surgical Revascularization; Reduced Left Ventricular Ejection Fraction.

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Conflict of interest statement

None declared.

Figures

Figure 1.
Figure 1.. Surgical techniques
Figure 2.
Figure 2.. Surgical techniques
See this image and copyright information in PMC

References

    1. Hamad MAS, et al. Preoperative ejection fraction as a predictor of survival after coronary artery bypass grafting; comparison with a matched general population. J Cardiothorac Surg. 2010;5:1–29. - PMC - PubMed
    1. Alderman et al. Results of coronary artery surgery in patients with poor left ventricular function (CASS) Circulation. 1983;68:785–795. - PubMed
    1. Awan MA, et al. Early effects of coronary artery bypass grafting on left ventricular regional wall motion abnormalities. J. Coll Physicians Surg Pak. 2007;17:3–7. - PubMed
    1. Gasior Z. rt al. Long term left ventricular systolic function assessement following CABG: A prospective, randomised study. Blood versus cristalloid cardioplegia. J Cardiovasc Surg. 2000;41:5–695. - PubMed
    1. Kamal YA, et al. Predictors of adverse effects after coronary artery bypass grafting in patients with reduced left ventricular ejection fraction. Journal of the Egyptian Society of Cardio-Thoracic Surgery. 2017;25:20–27.