Koronarchirurgie bei hochgradig eingeschränkter linksventrikulärer Funktion View Full Text


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Article Info

DATE

2003-12

AUTHORS

H. Hausmann, H. Siniawski, R. Meyer, H. Amthauer, M. Gutberlet, R. Felix, R. Sodian, T. Krabatsch, A. Koster, M. Kuckucka, H. Kuppe, R. Hetzer

ABSTRACT

BackgroundLeft ventricular function is the most important predictor of survival in patients with coronary artery disease. It is also an important indicator for hospital mortality after operation for endstage coronary artery disease. In our study, we investigated how preoperative ventricular dysfunction influences long-term survival after coronary bypass surgery.MethodsBetween 4/1986 and 12/2000, 1751 patients (1440 men/311 women) with left ventricular ejection fraction (LVEF) 10–30% underwent coronary bypass grafting (CABG) at the Deutsches Herzzentrum Berlin. The age of the patients was calculated to an average of 59.2 years. The prime criterion for CABG was ischemia (“hibernating myocardium”) diagnosed by myocardial scintigraphy, echocardiography and, in some cases, with magnetic resonance imaging and positron emission tomography.ResultsOperative mortality for the group was 7.1%. The actuarial survival rate was 87.6% after 2 years, 76.0% after 5, and 53.3% after 9 years. A total of 455 patients had LVEF 10–20%; in these, actuarial survival was 79.8% after 2 years, 63.0% after 5 and 45.7% after 9 years.ConclusionsWe conclude that CABG can be used successfully to improve life expectancy of patients with endstage coronary artery disease. CABG leads to acceptable prognosis for these high-risk patients when the myocardium is preoperatively identified as being viable. More... »

PAGES

233-239

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00398-003-0416-y

DOI

http://dx.doi.org/10.1007/s00398-003-0416-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1025657894


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