Combined surgery for ischemic cardiomyopathy: report of a case.
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.
Ishikawa
Susumu
S
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
Ueda
Keisuke
K
Kawasaki
Akio
A
Neya
Kazuo
K
Abe
Keiko
K
Suzuki
Haruo
H
Shirato
Hiroyuki
H
Yamazaki
Eriko
E
Aoyagi
Yoshiko
Y
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