[Abstract] [Full Text PDF] (in Japanese / 4134KB) [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 97(3): 227-233, 1996


Feature topic

SURGICAL TREATMENT FOR ISCHEMIC CARDIOMYOPATHY

The Heart Institute of Japan, Tokyo Women's Medical College, Tokyo, Japan

Masahiro Endo, Wataru Sato, Hiroshi Nishida, Hitoshi Koyanagi

From June 1970 to Aug. 1995. We were experienced 2,235 coronary surgical patiens at the Heart Institute of Japan. Alnong them, the ischemic cardiomyopathy (ICM) was defined as the elective, isolated CABG with the EF of less than 20%. Among the 1,640 cases of elective, isolated CABG, the cases with the EF of less than 20% were 29, 1.8% of the total.
The hospital mortality was 2 cases (6.9%). The late mortality was 2 cases. The graft patency rate was 96.6%. An actuarial survival rates at 1 year, 3 years and 5 years were 93%, 93 and 87%.
Operative mortality and 5-year survival rate of CABG for ICM are acceptable, and appear comparable to that achieved in similar patients after transplantation.


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