PMID: 9436563Jan 22, 1998Paper

Myocardial revascularization in patients with ischemic cardiomyopathy: functional observations

The Annals of Thoracic Surgery
M SalatiC Santoli

Abstract

A prospective angiographic study was undertaken to investigate, with an objective analysis, the global and regional wall response to myocardial revascularization. Thirty-one patients (30 men and 1 woman, mean age, 61 years) with a left ventricular ejection fraction of less than 0.30 were admitted to our institution between 1992 and 1995 for two- or three-vessel coronary artery disease requiring myocardial revascularization. All patients underwent isolated coronary artery bypass grafting and were studied 3 months later with angiography. Preoperative and postoperative wall motion were analyzed using special software that computed a segmental left ventricular ejection fraction, generating a segmental score. Computerized analysis allowed us to distinguish patients with diffuse hypokinesis and a symmetric contraction pattern from patients with akinesis involving at least two segments and an asymmetric contraction pattern. There were no operative deaths and no patient required intraaortic balloon counterpulsation. One patient had postoperative enzymatic evidence of myocardial infarction. Postoperative angiography showed a graft patency rate of 84%. Global analysis showed a small but significant rise in the left ventricular ejection f...Continue Reading

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Aug 1, 1993·The Annals of Thoracic Surgery·M SalatiC Santoli

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Citations

Jan 6, 2001·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·M IkedaM Ohnaka
May 2, 2000·Journal of Cardiac Surgery·R García-RinaldiD H Glaeser
May 4, 2002·Seminars in Thoracic and Cardiovascular Surgery·Lynda L Mickleborough
Jan 4, 2013·Asian Cardiovascular & Thoracic Annals·Nigel PintoPallav Shah

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