Severe Myocardial Dysfunction and Coronary Revascularization

Renal dysfunction after myocardial revascularization.

OBJECTIVES In this study, we evaluate the incidence of and analyse the pre and intraoperative risk factors for the development of postoperative renal dysfunction (PRD), and the impact of such an event on perioperative mortality and on hospital length of stay. In addition, we sought to investigate the influence of a mildly increased serum creatinine (1.3-2.0 mg/dl) on perioperative mortality and...

Coronary revascularization for myocardial ischemia.

Revascularization in severe left ventricular dysfunction.

The highest-risk patients with heart failure with reduced ejection fraction are those with ischemic cardiomyopathy and severe left ventricular systolic dysfunction (ejection fraction≤35%). The cornerstone of treatment is guideline-driven medical therapy for all patients and implantable device therapy for appropriately selected patients. Surgical revascularization offers the potential for improv...

Myocardial revascularization at extremes – surgical revascularization in acute coronary syndrome

Methods At our Institute, 122 patients with ACS were surgically revascularized using extracorporeal circulation in the first 10 days after the coronarography by one surgical team in the 5 years period. Patients were stratified into two groups: 65 patients operated within 4 days (group 1), and 57 patients operated from 5-Th to 10-Th day after the clopidogrel discontinuation (group 2). Patients w...

Revascularization in Patients With Multivessel Coronary Artery Disease and Severe Left Ventricular Systolic Dysfunction

The 2014 European Society of Cardiology and the European Association of Cardio-Thoracic Surgery guidelines on myocardial revascularization give a class I recommendation for coronary artery bypass graft surgery (CABG) but a class IIb recommendation for percutaneous coronary intervention (PCI) for revascularization in patients with chronic heart failure and systolic left ventricular (LV) dysfunct...