Coronary Artery Bypass Grafting in a Patient with Severe Left Ventricular Dysfunction and Enlargement, Showing Clinical Features of Ischemic Cardiomyopathy

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 performe...

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Bibliographic Details
Published inJapanese Journal of Cardiovascular Surgery Vol. 20; no. 7; pp. 1303 - 1308
Main Authors AKIYAMA, Kazuya, ANZAI, Nobuyuki
Format Journal Article
LanguageJapanese
Published The Japanese Society for Cardiovascular Surgery 1991
Subjects
coronary artery bypass grafting
ischemic cardiomyopathy
left ventricular dysfunction
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ISSN0285-1474
1883-4108
DOI10.4326/jjcvs.20.1303

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Summary: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.
ISSN:0285-1474
1883-4108
DOI:10.4326/jjcvs.20.1303