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Related Experiment Videos

Multivessel off-pump revascularization in patients with severe left ventricular dysfunction.

Daniel J Goldstein1, Robert B Beauford, Brandon Luk

  • 1Department of Cardiothoracic Surgery, Newark Beth Israel Medical Center and Saint Barnabas Hospital, 201 Lyons Avenue, Newark, NJ 07112, USA. dgoldstein@sbhcs.com

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|July 11, 2003
PubMed
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Multivessel off-pump coronary artery bypass grafting (CABG) is safe and effective for patients with severe left ventricular dysfunction. This approach offers improved survival and quality of life compared to conventional CABG.

Area of Science:

  • Cardiovascular Surgery
  • Cardiac Surgery
  • Minimally Invasive Cardiac Surgery

Background:

  • Severe left ventricular dysfunction poses significant challenges for coronary artery bypass grafting (CABG).
  • Beating heart revascularization aims to improve outcomes in high-risk cardiac surgery patients.

Purpose of the Study:

  • To evaluate the safety and efficacy of multivessel off-pump coronary artery bypass grafting (CABG) in patients with severe left ventricular dysfunction.
  • To provide intermediate survival and quality of life data for this patient group.

Main Methods:

  • A prospectively updated database was queried for patients with ejection fraction <=30% undergoing off-pump CABG.
  • Outcomes were compared to Society of Thoracic Surgeons (STS) benchmarks and a concurrent conventional CABG cohort.

Related Experiment Videos

  • Survival and quality of life were assessed via telephone interviews.
  • Main Results:

    • One hundred off-pump CABG patients (mean EF 26%) showed a 3% observed mortality versus 5.3% predicted (O/E ratio 0.56).
    • Adverse event rates were favorable compared to STS benchmarks and a conventional CABG cohort.
    • One-year survival was 85%, with 88% freedom from cardiac readmission and 83% freedom from angina.

    Conclusions:

    • Multivessel off-pump CABG is a safe and effective alternative for patients with severe left ventricular dysfunction.
    • Intermediate outcomes suggest benefits in survival and quality of life.
    • Long-term follow-up is necessary to confirm these findings.