[缺血性心肌病的外科治疗]

[Surgical treatment for ischemic cardiomyopathy].

作者信息

Endo M, Sato W, Nishida H, Koyanagi H

机构信息

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

出版信息

Nihon Geka Gakkai Zasshi. 1996 Mar;97(3):227-33.

PMID:8649334

Abstract

From June 1970 to Aug. 1995. We were experienced 2,235 coronary surgical patients at the Heart Institute of Japan. Among 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.

摘要

1970年6月至1995年8月。我们在日本心脏研究所治疗了2235例冠状动脉手术患者。其中，缺血性心肌病（ICM）被定义为择期、单纯冠状动脉旁路移植术（CABG）且射血分数（EF）低于20%。在1640例择期、单纯CABG病例中，EF低于20%的病例有29例，占总数的1.8%。医院死亡率为2例（6.9%）。晚期死亡率为2例。移植血管通畅率为96.6%。1年、3年和5年的精算生存率分别为93%、93%和87%。ICM患者CABG的手术死亡率和5年生存率是可以接受的，并且似乎与移植后类似患者所达到的结果相当。