Ist die operative Myokard-revaskularisation bei stark eingeschrankter linksventrikularer Funktion sinnvoll?

Translated title of the contribution: Benefit of coronary artery surgery in patients with poor left ventricular function

Ulrike Blum*, J. Von der Emde, A. Katalinic

*Corresponding author for this work

Abstract

Myocardial revascularization in patients with ischemic cardiomyopathy achieves beneficial results. Between January 1980 and December 1993 61 patients (ejection fraction <30%) underwent coronary artery bypass grafting in the University Hospital Erlangen. Age ranged from 36 to 75 years, 95% were in the NYHA functional class III or IV. We performed 1 redo, 2 emergency procedures and 1 additional thrombendarterctomy of the carotid artery. The 30 days mortality was 1.6%. The actuarial 5-years-survival-rate was 68.3%, following complete revascularization 77.1% respectively. 93% of the survivors were in the NYHA functional class I and II (the mean duration of follow up was 51.6 months). The clinical results of operative treatment are increased in comparison with a medicamentally treatment or angioplasty, operative mortality is similar to the mortality after PTCA or heart transplantation as well as the long term survival.

Translated title of the contributionBenefit of coronary artery surgery in patients with poor left ventricular function
Original languageGerman
JournalMedizinische Welt
Volume48
Issue number5
Pages (from-to)186-192
Number of pages7
ISSN0025-8512
Publication statusPublished - 17.07.1997

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