Coronary artery bypass grafting with or without surgical ventricular restoration: a comparison

The Annals of Thoracic Surgery
Roni B PruczJohn V Conte

Abstract

Coronary artery bypass grafting (CABG) is an effective treatment for ischemic cardiomyopathy. However, patients with ventricular enlargement are known to have inferior outcomes. We assessed whether surgical ventricular restoration (SVR) with CABG (SVR + CABG) leads to improved outcomes versus CABG alone for patients with ischemic cardiomyopathy and ventricular enlargement. We conducted a case-control study comparing patients with ischemic cardiomyopathy and ejection fraction less than 0.35 who underwent SVR + CABG versus CABG alone from June 2002 to December 2005. Patients who underwent SVR + CABG were compared with control patients who met criteria for SVR + CABG by ventriculogram or echocardiogram but received CABG alone. End points included survival, rehospitalization for heart failure, and New York Heart Association class. During the study period 120 patients underwent SVR + CABG (n = 62) versus CABG alone (n = 58). Patients in the SVR + CABG group were younger (60 versus 64 years; p = 0.04) and more likely to be New York Heart Association class III or IV preoperatively (98% versus 86%; p = 0.01). Operative mortality was similar between groups (6.4% versus 5.2%; p = 1.00). Ejection fraction was similar preoperatively (0.22 ...Continue Reading

References

Mar 4, 1998·The Annals of Thoracic Surgery·A YamaguchiJ Tsuboi
Jan 6, 1999·The Annals of Thoracic Surgery·G D TrachiotisJ M Craver
Jan 17, 2002·The New England Journal of Medicine·E A RoseUNKNOWN Randomized Evaluation of Mechanical Assistance for the Treatment of Congestive Heart Failure (REMATCH) Study Group
Jan 25, 2002·Seminars in Thoracic and Cardiovascular Surgery·M Di DonatoUNKNOWN RESTORE Group
Apr 16, 2003·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Tadashi IsomuraAtsushi Yuda
Feb 6, 2004·The Journal of Thoracic and Cardiovascular Surgery·Thomas S MaxeyIrving L Kron
Oct 8, 2004·Congestive Heart Failure·John V Conte
Aug 4, 2005·The Journal of Thoracic and Cardiovascular Surgery·Gerald D Buckberg
Nov 26, 2005·The Journal of Thoracic and Cardiovascular Surgery·Nishant D PatelJohn V Conte
Apr 21, 2006·Journal of Cardiac Failure·Gustavo C Aguiar RibeiroKleber G Franchini

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Citations

Sep 11, 2013·Current Treatment Options in Cardiovascular Medicine·Robert Michler
Mar 31, 2009·The New England Journal of Medicine·Robert H JonesUNKNOWN STICH Hypothesis 2 Investigators
Mar 23, 2013·Progress in Cardiovascular Diseases·Brisham Harchandani, Alex Reyentovich
Jan 1, 2012·Seminars in Thoracic and Cardiovascular Surgery·Hisayoshi Suma, Anelechi C Anyanwu
Nov 1, 2012·The Journal of Thoracic and Cardiovascular Surgery·Robert E MichlerUNKNOWN STICH Trial Investigators
Jul 28, 2009·The Annals of Thoracic Surgery·Teruya Nakamura
Jul 31, 2010·Journal of the American College of Cardiology·A Laurie W ShroyerFrederick L Grover
Mar 13, 2016·Angiology·Dimitrios RichterDimitrios Tousoulis
Feb 27, 2017·Current Heart Failure Reports·Bishnu P Dhakal, Guilherme H Oliveira
Feb 15, 2011·European Journal of Heart Failure·Tadashi IsomuraUNKNOWN RESTORE Group
May 29, 2009·Circulation Journal : Official Journal of the Japanese Circulation Society·Tadashi Isomura
Sep 9, 2021·Journal of Cardiac Surgery·Ali Fatehi HassanabadImtiaz S Ali
Sep 4, 2021·Current Opinion in Cardiology·N Bryce RobinsonMario Gaudino

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