Japanese Journal of Cardiovascular Surgery
Online ISSN : 1883-4108
Print ISSN : 0285-1474
ISSN-L : 0285-1474
Coronary Artery Bypass Grafting in a Patient with Severe Left Ventricular Dysfunction and Enlargement, Showing Clinical Features of Ischemic Cardiomyopathy
Kazuya AKIYAMANobuyuki ANZAI
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1991 Volume 20 Issue 7 Pages 1303-1308

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Abstract
Ischemic cardiomyopathy with a severe left ventricular dysfunction and enlargement, is a dismal prognosis, but can be a surgical candidate. So, differential diagnosis of ischemic cardiomyopathy from other cardiomyopathies and evaluation of myocardial viability are important. We successfully performed coronary artery bypass in a 68-year-old patient with ischemic cardiomyopathy. His preoperative left ventricular function showed an end-diastolic volume of 281.8cc/M/m2, pressure of 30mmHg, and ejection fraction of 13.1%. We conclude that coronary artery revascularization provides significant benefits for ischemic cardiomyopathy with reversible myocardial ischemia.
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© The Japanese Society for Cardiovascular Surgery
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