| Autor: |
Vineeth V. S., Anusha, C. L., Bomma, Kaladhar, Malempati, Amaresh Rao |
| Předmět: |
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| Zdroj: |
European Journal of Cardiovascular Medicine; 2024, Vol. 14 Issue 3, p205-213, 9p |
| Abstrakt: |
Aims: To assess the incidence of Chronic Total Occlusions (CTOs) in patients with coronary artery disease and to study the symptom complex of patients with Chronic Total Occlusions (CTOs). Materials and methods: This is a prospective observational study conducted in 40 adult patients aged between 18-75 years of age, of any gender, undergoing coronary artery bypass grafting for coronary artery disease with chronic total occlusion of one or more coronary vessels and analyzed the surgical outcomes. Results: CAD was most frequently seen in males in their sixth decade of life, with smoking being a definite possible risk factor. Chest discomfort was the most common presenting complaint of the patients with CTOs of the coronaries. CTOs were frequently associated with triple vessel disease of the coronary vessels. Surgical management of CTOs by CABG seems to be more appropriate as it can provide revascularization of all major coronary territories. CTOs have been more commonly found in the Right coronary artery, with single vessel CTO being more common than multi-vessel CTOs. Peri-operative low cardiac output, requirement of endarterectomy and IABP support were associated with eventful outcomes and were indicators of a poorer prognosis. Majority of the CTOs were bypassed successfully and significant improvement in the left ventricular ejection fraction was noted in most of the patients post-operatively. Conclusions: Despite their variable complex anatomy, most of the CTOs were amenable to revascularization by CABG reiterating the fact that surgery still remains a definitive mode of treatment for complex CAD. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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