Coronary Artery Bypass Grafting in a Patient with Severe Left Ventricular Dysfunction and Enlargement, Showing Clinical Features of Ischemic Cardiomyopathy.
10.4326/jjcvs.20.1303
- VernacularTitle:高度左室機能不全と左室拡大を示し虚血性心筋症の病像を呈した症例に対するＡ‐Ｃバイパス術の１例
- Author:
Kazuya AKIYAMA
;
Nobuyuki ANZAI
- Publication Type:Journal Article
- Keywords:
ischemic cardiomyopathy;
left ventricular dysfunction;
coronary artery bypass grafting
- From:Japanese Journal of Cardiovascular Surgery
1991;20(7):1303-1308
- CountryJapan
- Language:Japanese
-
Abstract:
Ischemic cardiomyopathy with a severe left ventricular dysfunction and enlargement, is a dismal prognosis, but can be a surgical candidate. So, differential diagnosis of ischemic cardiomyopathy from other cardiomyopathies and evaluation of myocardial viability are important. We successfully performed coronary artery bypass in a 68-year-old patient with ischemic cardiomyopathy. His preoperative left ventricular function showed an end-diastolic volume of 281.8cc/M/m2, pressure of 30mmHg, and ejection fraction of 13.1%. We conclude that coronary artery revascularization provides significant benefits for ischemic cardiomyopathy with reversible myocardial ischemia.
