Original articleCoronary bypass with ejection fraction of 0.20 or less using centigrade cardioplegia: Long-term follow-up☆
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Reoperative Total Arch Repair Using a Trifurcated Graft and Selective Antegrade Cerebral Perfusion
2022, Annals of Thoracic SurgeryCitation Excerpt :Systemic cooling to a bladder temperature of 18°C to 20°C is used, primarily to ensure spinal cord protection during lower body circulatory arrest. For isolated arch repair, in the absence of aortic insufficiency, diastolic cardiac arrest is achieved by administering 60 mEq potassium chloride into the bypass circuit just before initiation of SACP,15 and retrograde blood cardioplegia is administered through the coronary sinus for maintenance cardioplegia. This approach to myocardial protection avoids the need for aortic cross-clamping, thereby eliminating the need for circumferential dissection of a previously placed ascending aortic graft.
Results and predictors of early and late outcome of coronary artery bypass graft surgery in patients with ejection fraction less than 20%
2008, Archives of Cardiovascular DiseasesLong-Term Results of Coronary Artery Bypass Grafting in Patients With Left Ventricular Dysfunction
2008, Annals of Thoracic SurgeryCitation Excerpt :In our series, preoperative symptoms of ischemia and CHF appeared to be the most statistically significant predictors of long-term outcome. Our finding supports the observation of Lansman and colleagues [21], who stated that the presence of angina predicted a good survival rate and a consistent improvement in left ventricular function. However, other investigators [13] have shown that the presence of angina had no statistically significant predictive value with regard to long-term mortality and the recurrence of heart failure.
Cardiac Transplantation: Any Role Left?
2007, Heart Failure ClinicsCitation Excerpt :Different trials have suggested the benefit of revascularization in advanced heart failure if angina [59] or hibernation [60–65] is present. If no viable myocardium is present, the prospect of improvement with revascularization is reduced and, thus, cardiac transplantation should be considered for appropriate candidates [58,66–68]. Only few studies compared PCI and CABG for high-risk patients who had ischemia and severely compromised ejection fraction.
Coronary bypass surgery for patients with chronic poor preoperative left ventricular function (EF < 30%): 5-year follow-up
2006, Heart Lung and CirculationPrognostics scores to help revascularization for ischemic heart failure
2004, Annales de Cardiologie et d'Angeiologie
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Presented at the Twenty-ninth Annual Meeting of The Society of Thoracic Surgeons, San Antonio, TX, Jan 25–27, 1993.