Myocardial Revascularization for Ischemic Heart Disease with Impaired Left Ventricular Function.
10.4326/jjcvs.21.6
- VernacularTitle:低心機能を合併した虚血性心臓病に対する冠動脈バイパス術
- Author:
Tadashi ISOMURA
;
Kouichi HISATOMI
;
Akio HIRANO
;
Hiroto INUZUKA
;
Shigemitsu SUZUKI
;
Ken-ichi KOSUGA
;
Kiroku OHISHI
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1992;21(1):6-10
- CountryJapan
- Language:Japanese
-
Abstract:
Coronary artery bypass grafting (CABG) was performed in 16 patients with impaired left ventricular function due to ischemic heart disease (IHD) and the surgical procedures and cardiac functions before and after operation were studied. Preoperative angiogram showed three vessel disease in all patients. The ejection fraction was less than 40% in all and the mean cardiac index (CI) was 1.97l/min/m2. At operation arterial graft was used in 10 patients (Group-AG) and no arterial graft but saphenous vein graft was used in 6 patients (Group-SVG). The average total cardiopulmonary bypass time, aortic cross clamping time and the number of revascularized vessels in both groups showed no significant differences. However, intraaortic balloon pumping was necessitated in one of Group-SVG and the requirement of postoperative catecholamine was in higher ratio in Group-SVG than in Group-AG. Postoperative CI improved to 3.1±0.4l/min/m2 and 3.3±0.3 l/min/m2 in Group-AG and Group-SVG, respectively. The postoperative New York Heart Association Functional Class improved to Class I or II in all patients and there were no significant differences of the improvement between the groups. Conclusively, it seems that the arterial grafts can be used safely and extensively in CABG for impaired left ventricular function due to IHD.
