A Case Report of Coronary Artery Bypass Grafting without Cardiopulmonary Bypass for a Patient with Ischemic Severe Left Ventricular Dysfunction (LVFE 6 %).
10.4326/jjcvs.25.402
- VernacularTitle:ＬＶＥＦ６％の低左心機能症例に対する人工心肺を用いない心拍動下冠血行再建術
- Author:
Masahiko Kuinose
;
Kazuo Tanemoto
;
Yuji Kanaoka
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1996;25(6):402-405
- CountryJapan
- Language:Japanese
-
Abstract:
A 67-year-old man had ischemic cardiomyopathy. He had New York Heart Association class III heart failure with pleural effusion. Further examinations revealed an enlarged left ventricle with markedly reduced ejection fraction (6.2%) and 3-vessel coronary disease. He underwent single coronary bypass grafting, using the gastroepiploic artery (GEA) to RCA without cardiopulmonary bypass. He showed a remarkable improvement of cardiac function. He was discharged from our hospital (NYHA class I) on the 40th postoperative day and lives an almost normal life now. Coronary artery bypass grafting without cardiopulmonary bypass is one of the useful surgical techniques for patients with ischemic severe left ventricular dysfunction.
