Coronary artery bypass graft surgery: late survival and follow-up

1988 ◽  
Vol 9 (suppl G) ◽  
pp. 107-110
Author(s):  
D. J. Wheatley
2006 ◽  
Vol 55 (5) ◽  
pp. 451
Author(s):  
Seung Ho Joo ◽  
Byoung Wook Choi ◽  
Jae Seung Seo ◽  
Young Jin Kim ◽  
Tae Hoon Kim ◽  
...  

2000 ◽  
Vol 8 (2) ◽  
pp. 103-108
Author(s):  
Poo Sing Wong ◽  
Simon Vendargon ◽  
Choon Gek Lim

From November 1996 to April 1999, 348 patients underwent isolated non-cardioplegic coronary artery bypass grafting at a new center. There were 123 (35%) patients aged over 60 years, 48 (14%) were female, 70 (20%) had a left ventricular ejection fraction below 0.3. Coronary artery bypass graft surgery was performed using hypothermic intermittent ischemic fibrillatory arrest of the heart. The left internal mammary artery was used in 97% of cases. Mean grafts per patient was 3.5. Sixty-three patients (18%) underwent 65 coronary endarterectomies. The overall operative mortality rate was 2.3% (8/348). Follow-up was 97% complete. Mean follow-up was 14.9 ± 8 months (range, 1 to 30 months). Freedom from angina was 98.3% at 6 months, 97% at 12 months, and 97% at 24 months. The overall survival was 96.7% at 6 months, 95.8% at 12 months, and 94.4% at 24 months. It was concluded that this method of myocardial protection for isolated coronary artery bypass graft surgery provided excellent operating conditions in this group of patients.


BMJ ◽  
1986 ◽  
Vol 293 (6540) ◽  
pp. 165-167 ◽  
Author(s):  
P J Shaw ◽  
D Bates ◽  
N E Cartlidge ◽  
D Heaviside ◽  
J M French ◽  
...  

Circulation ◽  
2012 ◽  
Vol 126 (9) ◽  
pp. 1023-1030 ◽  
Author(s):  
Chaim Locker ◽  
Hartzell V. Schaff ◽  
Joseph A. Dearani ◽  
Lyle D. Joyce ◽  
Soon J. Park ◽  
...  

2014 ◽  
Vol 13 (3) ◽  
pp. 77-79
Author(s):  
Asit Baran Adhikary ◽  
Kamrul Ahsan ◽  
Sabrina Sharmeen Husain ◽  
Sanjoy Kumar Saha ◽  
Arif Mohammad Sohan ◽  
...  

Coronary artery bypass grafting has always given advantage over medical management in treating ischaemic heart disease when 5 years survival is concerned. But, surgery is usually avoided in patients with ischaemic cardiomyopathy with low ejection fraction due to perioperative mortality .Here, we are presenting a case of first successfully performed CABG in Bangladedesh in a patient with ejection fraction of 19%. A 58 years old diabetic and hypertensive male patient, having history of myocardial infarction was suffering from ischaemic cardiomyopathy. He presented with compressive central chest pain, dyspnoea and fatigue and was in NYHA functional class IV. His coronary angiogram revealed tripple vessel coronary artery disease and there was severe left ventricular systolic dysfunction on Echocardiography. On 11th June, 2013 he underwent off pump coronary artery bypass graft where 3 grafts were anastomosed on beating heart. There was no peroperative complication and no need for perioperative IABP. Weaning time from ventilation and period of inotropic support were not longer than usual that is required for a patient with normal ejection fraction. Patient’s postoperative period was unremarkable. After six months follow up, his ejection fraction had improved to 26% and on nine months follow up his ejection fraction was 35%. The patient is apparently symptom less, resumed his job and leading an almost normal life. Therefore, surgery in a skilled hand can combat perioperative mortality and morbidity and gives better result in patient with low ejection fraction.DOI: http://dx.doi.org/10.3329/cmoshmcj.v13i3.21036


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