Coronary artery bypass grafting in low ejection fraction: state of the art.
Curr Opin Cardiol
; 36(6): 740-747, 2021 11 01.
Article
em En
| MEDLINE
| ID: mdl-34475329
ABSTRACT
PURPOSE OF REVIEW As the number of patients with reduced ejection fraction secondary to ischemic cardiomyopathy (ICM) increases, coronary artery bypass grafting is being used with increasing frequency. In this review, we summarize the different operative considerations in this vulnerable patient population. RECENT FINDINGS:
Preoperative optimization with mechanical circulatory support devices, especially in the setting of hemodynamic instability, can reduce perioperative morbidity and mortality. The advantage of advanced techniques, such as off-pump CABG and multiple arterial grafting remains unclear. Concomitant procedures, such as ablation for atrial fibrillation remain important considerations that should be tailored to the individual patients risk profile.SUMMARY:
Despite improvements in perioperative care of patients undergoing CABG, patients with a reduced ejection fraction remain at elevated risk of major morbidity and mortality. Preoperative optimization and careful selection of intraoperative techniques can lead to improved outcomes.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Fibrilação Atrial
/
Isquemia Miocárdica
/
Disfunção Ventricular Esquerda
Limite:
Humans
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article