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《Chinese Journal of Cardiovascular Research》 2018-04
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Effect of coronary artery bypass grafting on patients with enlarged left ventricular and reduced eject fraction

L Xiao;NIU Zhao-zhuo;SHENG Wei;Department of Cardiac Surgery,Qingdao Municipal Hospital;  
Objective To investigate the effect of coronary artery bypass grafting(CABG) on patients with enlarged left ventricle and reduced eject fraction. Methods From Jan 2014 to May 2017, 22 consecutive patients with enlarged left ventricle and reduced low eject fraction have received the coronary artery bypass grafting in our hospital. The involving criteria included: the Dimension of left ventricle larger than 65 mm, eject fraction lower than 35% and the defused of the left ventricular mobility diffused reduced. The cases with left ventricular aneurysm were excluded. All the CABG had used the off-pump technique and part of them was assisted by the IABP. All the cases were using the left mammary artery and the saphenous veins as the grafts. The cardiac ECHO was used to assess the recovery of the left ventricle. And the perioperative complications and the follow up results were recorded.The follow-up time was 3-24 months. Results 1 case died in the hospital for the consistent low output syndrome and multiple organ failure. 2 cases had complicated with pneumonia; 2 cases suffered with acute renal failure and had recovered without dialysis. 3 cases had consistent ventricular tachycardia in the ICU, who were treated with Amiodarone. One of them had to be implanted the CRTD and another two had been medically stabilized. Ultrasound cardiography in the follow-up period showed that there was a decreased left ventricular end-diastolic dimension[(67.1 1±4.2)mm vs.(61.3±3.3)mm P0.05 ] and an improved left ventricular ejection fraction(0.30±0.04 vs.0.35±0.05,P0.05). Conclusion CABG is an effective surgical procedure in the treatment of coronary heart disease with enlarged left ventricle and reduced eject fraction
【CateGory Index】: R654.2
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【Citations】
Chinese Journal Full-text Database 2 Hits
1 XU Ming,CHEN Xu-jun,CHEN Xin,JIANG Ying-suo,WANG Li-ming,XIAO Li-qiong.(Department of Thoracic and Cardiovascular Surgery,Nanjing First Hospital,Nanjing Medical University,Nanjing 210006,P.R.China);Effect of Coronary Artery Bypass Grafting on Patients with Coronary Heart Disease and Giant Left Ventricular Dimension but without Aneurysm[J];中国胸心血管外科临床杂志;2011-02
2 WANG Dong-jin LI Qing-guo WANG Qiang CHEN Bao-jun CAO Bin WU Zhong ZHOU Yong YAN Yi-guang ZHOU Qing Department of Thoracic and Cardiovascular Surgery, Affiliated Gulou Hospital, Medical College of Nanjing University, Nanjing 210008, China;The predictive values of EuroSCORE of early mortality in coronary artery bypass grafting patients[J];中华外科杂志;2009-08
【Co-citations】
Chinese Journal Full-text Database 7 Hits
1 L Xiao;NIU Zhao-zhuo;SHENG Wei;Department of Cardiac Surgery,Qingdao Municipal Hospital;;Effect of coronary artery bypass grafting on patients with enlarged left ventricular and reduced eject fraction[J];中国心血管病研究;2018-04
2 MA Hong-yan;HU Da-qing;Department of Cardiovascular Surgery,Wuhan Asia Heart Hospital;;Clinical Analysis of Patients with Coronary Artery Disease and Left Ventricular Aneurysm Undergoing Coronary Artery Bypass Grafting without Concomitant Surgical Ventricular Restoration[J];中国胸心血管外科临床杂志;2014-02
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