Outcomes of Off-Pump Coronary Bypass Grafting with the Bilateral Internal Thoracic Artery for Left Ventricular Dysfunction
Journal of Korean Medical Science
; : 69-75, 2014.
Article
在 En
| WPRIM
| ID: wpr-200224
Responsible library:
WPRO
ABSTRACT
This study evaluated the outcomes of off-pump coronary artery bypass surgery (OPCAB) with severe left ventricular dysfunction using composite bilateral internal thoracic artery grafting. From January 2001 to December 2008, 1,842 patients underwent primary isolated OPCAB with composite bilateral internal thoracic artery grafting. A total of 131 of these patients were diagnosed with a severely depressed preoperative left ventricle ejection fraction (LVEF) (0.6). The early mortality for patients with severe LVEF was 2.3%. The 3-yr and 7-yr survival rate for patients with severe LV dysfunction was 86.0% and 82.8%, respectively. Multivariate analysis showed that severe LV dysfunction EF increased the risk of all-cause death (P=0.012; hazard ratio [HR],2.14; 95% confidence interval [CI],1.19-3.88) and the risk of cardiac-related death (P=0.008; HR,3.38; 95% CI, 1.37-8.341). The study identified positive surgical outcomes of OPCAB, although severe LVEF was associated with two-fold increase in mortality risk compared with patients who had normal LVEF.
Key words
全文:
1
索引:
WPRIM
主要主题:
Stroke Volume
/
Survival Rate
/
Retrospective Studies
/
Ventricular Function, Left
/
Treatment Outcome
/
Ventricular Dysfunction, Left
/
Coronary Artery Bypass, Off-Pump
/
Vascular Grafting
/
Heart
/
Mammary Arteries
研究类型:
Observational_studies
限制:
Female
/
Humans
/
Male
语言:
En
期刊:
Journal of Korean Medical Science
年:
2014
类型:
Article