PMID- 11788253
OWN - NLM
STAT- MEDLINE
DCOM- 20020221
LR  - 20190513
IS  - 1010-7940 (Print)
IS  - 1010-7940 (Linking)
VI  - 21
IP  - 1
DP  - 2002 Jan
TI  - Off-pump coronary artery bypass surgery in the left ventricular dysfunction.
PG  - 36-40
AB  - OBJECTIVE: The purpose of this study is to report our experience in off-pump 
      coronary artery surgery in patients who have left ventricular dysfunction. 
      METHODS: Off-pump coronary artery surgery was performed to 48 patients who were 
      chosen randomly among 265 patients having two or more coronary artery disease and 
      whose ejection fraction (EF) was less than 30%. In these patients fractioned 
      shortening (FS) was evaluated by echocardiography, EF with multiple gated 
      acquisition (MUGA) and ischaemic regions with myocardial perfusion scintigraphy 
      both pre- and postoperatively. Coronary artery angiography was done to all 
      patients at the end of the 1st year and patients were evaluated according to New 
      York Heart Association (NYHA) classification. RESULTS: There were three deaths. 
      The clinical situations of 41 of 45 patients (91.1%) improved after the 
      operation. These four patients who didn't improve in NYHA status were the ones in 
      whom complete revascularization couldn't be done. The FS and EF values were 
      significantly increased at the 1st month, and 1st year. The constant perfusion 
      defects and irreversible damaged areas changed into dynamic myocardial tissue in 
      the 1st year scintigraphies. DISCUSSION: Off-pump CABG can be done with an 
      acceptable mortality and clinic results in patients who have ventricular 
      dysfunction.
FAU - Eryilmaz, Sadik
AU  - Eryilmaz S
AD  - Department of Cardiovascular Surgery, Faculty of Medicine, Ankara University 
      Hospital, Ankara, Turkey. sadikeryilmaz@hotmail.com
FAU - Corapcioglu, Tumer
AU  - Corapcioglu T
FAU - Eren, Neyyir Tuncay
AU  - Eren NT
FAU - Yazicioglu, Levent
AU  - Yazicioglu L
FAU - Kaya, Kaan
AU  - Kaya K
FAU - Akalin, Hakki
AU  - Akalin H
LA  - eng
PT  - Journal Article
PL  - Germany
TA  - Eur J Cardiothorac Surg
JT  - European journal of cardio-thoracic surgery : official journal of the European 
      Association for Cardio-thoracic Surgery
JID - 8804069
SB  - IM
MH  - Adult
MH  - Aged
MH  - *Coronary Artery Bypass
MH  - Humans
MH  - Life Expectancy
MH  - Middle Aged
MH  - Prospective Studies
MH  - Stroke Volume
MH  - Ventricular Dysfunction, Left/physiopathology/*surgery
EDAT- 2002/01/15 10:00
MHDA- 2002/02/22 10:01
CRDT- 2002/01/15 10:00
PHST- 2002/01/15 10:00 [pubmed]
PHST- 2002/02/22 10:01 [medline]
PHST- 2002/01/15 10:00 [entrez]
AID - S1010794001010661 [pii]
AID - 10.1016/s1010-7940(01)01066-1 [doi]
PST - ppublish
SO  - Eur J Cardiothorac Surg. 2002 Jan;21(1):36-40. doi: 
      10.1016/s1010-7940(01)01066-1.