Department of General Surgery. Medical Institute Bayer, Tuzla, Bosnia and Herzegovina.
Department of Cardiology. Medical Institute Bayer, Tuzla, Bosnia and Herzegovina.
Med Arch. 2022 Dec;76(6):426-429. doi: 10.5455/medarh.2022.76.426-429.
Myocardial surgical revascularization in patients with low left ventricular ejection fraction (LVEF) is accompanied by a high rate of morbidity and mortality.
The aim of this study was to investigate and eliminate the reasons for the most common perioperative and postoperative complications.
A total of 64 were analyzed. of patients during 2019 who underwent coronary artery bypass grafting (CABG), average age 61.29±9.12 years.
Out of the total number of operated patients, there were 16 women and 48 men. Patients were divided into two groups. The first group consisted of patients who underwent surgery with the use of cardiopulmonary bypass (cCABG-CPB) and the second group those who underwent surgery without the use of cardiopulmonary bypass (OPCAB). In 41 patients, myocardial infarction was previously recorded. Critical stenosis of the main trunk of the left coronary artery was present in 14 patients. The incidence of postoperative complications was higher in the cCABG-CPB 16/10 group (p0.030).
In our study, we confirmed that myocardial revascularization is justified, especially in the case of multivessel coronary disease. In the long term, it significantly improves the systolic function of the left ventricle, and thus and quality and length of life.
左心室射血分数（LVEF）较低的患者进行心肌外科血运重建伴随高发病率和死亡率。
本研究旨在调查并消除最常见围手术期和术后并发症的原因。
分析了 2019 年接受冠状动脉旁路移植术（CABG）的 64 例患者，平均年龄 61.29±9.12 岁。
在接受手术的患者总数中，有 16 名女性和 48 名男性。患者被分为两组。第一组包括接受体外循环（cCABG-CPB）手术的患者，第二组为未接受体外循环（OPCAB）手术的患者。41 例患者之前有心肌梗死记录。14 例患者存在左冠状动脉主干严重狭窄。cCABG-CPB 10 组的术后并发症发生率较高（p0.030）。
在我们的研究中，我们证实心肌血运重建是合理的，特别是在多支冠状动脉疾病的情况下。从长远来看，它显著改善了左心室的收缩功能，从而提高了生活质量和寿命。
