Off-pump minimally invasive coronary artery bypass grafting in patients with left ventricular dysfunction: the lampang experience

Autor: Ryohei Ushioda, Aina Hirofuji, Dit Yoongtong, Boonsap Sakboon, Jaroen Cheewinmethasiri, Hiroyuki Kamiya, Nuttapon Arayawudhikul
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Frontiers in Surgery, Vol 11 (2024)
Druh dokumentu: article
ISSN: 2296-875X
DOI: 10.3389/fsurg.2024.1324343
Popis: IntroductionThe minimally invasive cardiac surgery off-pump coronary artery bypass (MICSOPCAB) is technically difficult; therefore, previous studies have indicated that MICSOPCAB should be contraindicated in patients with impaired left ventricular (LV) function. In this study, we investigated the feasibility of MICSOPCAB in patients with impaired LV function.MethodsThe 226 patients underwent MICSOPCAB between August 2017 and September 2022. Our study defined impaired LV function as ejection fraction (EF) in echocardiography 40% or less. The patients were divided into Low EF group (n = 39) and Normal EF group (n = 187).ResultsThe Low EF group was in a more critical preoperative condition than Normal EF group (41.0% in the Low EF group vs. 14.4% in the Normal EF group; p
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