title: Combined surgery for ischemic cardiomyopathy: report of a case.
abstract: A 65-year-old female with catecholamine-dependent ischemic cardiomyopathy was admitted to our hospital. Preoperative examination revealed severe triple vessel coronary artery disease, severe mitral valve regurgitation and left ventricular (LV) dilatation associated with low ejection fraction. Coronary artery bypass grafting with four distal anastomoses, mitral valve plasty using original papillary muscle application method, LV volume reduction using overlapping method and biventricular pacing were performed. Postoperative course was uneventful and quality of life at 2 years after surgery was good. Active combined surgery has the possibility of improving the outcome of patients with severe ischemic cardiomyopathy.
authors.affiliation: Department of Surgery, Cardiovascular Division, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi, Tokyo 173-8605, Japan. ishikawa@med.teikyo-u.ac.jp
authors.forename: Susumu
authors.initials: S
authors.lastname: Ishikawa
authors.forename: Keisuke
authors.initials: K
authors.lastname: Ueda
authors.forename: Akio
authors.initials: A
authors.lastname: Kawasaki
authors.forename: Kazuo
authors.initials: K
authors.lastname: Neya
authors.forename: Keiko
authors.initials: K
authors.lastname: Abe
authors.forename: Haruo
authors.initials: H
authors.lastname: Suzuki
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Shirato
authors.forename: Eriko
authors.initials: E
authors.lastname: Yamazaki
authors.forename: Yoshiko
authors.initials: Y
authors.lastname: Aoyagi
mesh_terms: D000368:Aged; D009202:Cardiomyopathies / Q000209:etiology / Q000601:surgery*; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D008943:Mitral Valve / Q000601:surgery; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000601:surgery; D018487:Ventricular Dysfunction, Left / Q000150:complications / Q000601:surgery