[A case of coronary artery bypass grafting without cardiopulmonary bypass in a patient with left ventricular dysfunction].
A 54-year-old man who had severe deterioration of left ventricular function (cardiac index ; 1.6 l/min/m2, left ventricular ejection fraction ; 26%) due to two myocardial infarcts underwent bypass of the left anterior descending artery using the left internal thoracic artery under IABP assist without extracorporeal circuration or cardiac arrest. Two hours postoperatively, he was extubated. Subsequent clinical course was uneventful with a satisfactory outcome. These findings suggest that coronary artery bypass without extracorporeal circulation or cardiac arrest is a safe and effective procedure in patients with left ventricular dysfunction.
Akiyama
K
K
Second Department of Surgery, Nihon University School of Medicine, Tokyo, Japan.
Ogasawara
K
K
Horikoshi
M
M
Chiku
N
N
Sezai
Y
Y
D002315:Cardiopulmonary Bypass; D001026:Coronary Artery Bypass / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D018487:Ventricular Dysfunction, Left / Q000601:surgery*