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SURGICAL TREATMENT OF ISCHEMIC HEART DISEASE AT PATIENTS WITH EXPRESSED DYSFUNCTION OF LEFT VENTRICLE IN THE WORKING HEART IN THE CONDITIONS OF PARALLEL ARTIFICIAL CIRCULATION

Abstract

The remote results of prospective randomized clinical trial of surgical treatment of ishemic heart disease at patients with low fraction of emission of left ventricle in the working heart in the conditions of artificial circulation are presented. Conclusions . The working heart operation of direct revascularization of myocardium in the conditions of artificial circulation has no advantages in comparison with standard technique of aortocoronary shunting concerning improvement of retractive function of left ventricle and level of life quality, however statistically significantly reduces survival of patients and tolerance to exercise stress in the remote postoperative period.

About the Authors

A. S. Nesmachniy
FSBE «Novosibirsk scientific research institute of circulation pathology n.a. academician E. N. Meshalkin» of Ministry of Health
Russian Federation


A. M. Chernyavsky
FSBE «Novosibirsk scientific research institute of circulation pathology n.a. academician E. N. Meshalkin» of Ministry of Health
Russian Federation


A. V. Boboshko
FSBE «Novosibirsk scientific research institute of circulation pathology n.a. academician E. N. Meshalkin» of Ministry of Health
Russian Federation


V. U. Efendiyev
FSBE «Novosibirsk scientific research institute of circulation pathology n.a. academician E. N. Meshalkin» of Ministry of Health
Russian Federation


T. M. Ruzmatov
FSBE «Novosibirsk scientific research institute of circulation pathology n.a. academician E. N. Meshalkin» of Ministry of Health
Russian Federation


J. E. Kareva
FSBE «Novosibirsk scientific research institute of circulation pathology n.a. academician E. N. Meshalkin» of Ministry of Health
Russian Federation


T. N. Podsosnikova
FSBE «Novosibirsk scientific research institute of circulation pathology n.a. academician E. N. Meshalkin» of Ministry of Health
Russian Federation


References

1. McMurray J. J. Epidemiology, aetiology and prognosis of heart failure / J. J. McMurray, S. Stewart // Heart. - 2000. - Vol. 83. - Р. 596-602.

2. Myocardial viability testing and impact of revascularization on prognosis in patients with coronary artery disease and left ventricular dysfunction : a meta-analysis / K. C. Allman [et al.] // J. Am. Coll. Cardiol. - 2002. - Vol. 39. - Р. 1151-1158.

3. Coronary artery bypass grafting in patients with low ejection fraction / V. K. Topkara [et al.] // Circulation. - 2005. - Vol. 112. - Р. I344-350.

4. Myocardial protection in adult cardiac surgery: current options and future challenges / F. Nicolini [et al.] // Eur. J. Cardiothorac. Surg. - 2003. - Vol. 24. - Р. 986-993.

5. Does cardioplegia type affect outcome and survival in patients with advanced left ventricular dysfunction? Results from the CABG Patch Trial / J. E. Flack [et al.] // Circulation. - 2000. - Vol. 102. - Р. III84-III89.

6. Effects of off-pump versus on-pump coronary surgery on reversible and irreversible myocardial injury : a randomized trial using cardiovascular magnetic resonance imaging and biochemical markers / J. B. Selvanayagam [et al.] // Circulation. - 2004. - Vol. 109. - Р. 345-350.

7. Clinical Practice of On-pump Beating-heart Coronary Artery Bypass Grafting at Tri-Service General Hospital / Su Chuan-Nan [et al.] // J. Med. Sci. - 2008. - Vol. 28 (4). - Р. 159-164.

8. On-pump beating-heart coronary artery bypass: a propensity matched analysis / S. Mizutani [et al.] // Ann. Thorac. Surg. - 2007. - Vol. 83. - Р. 1368-73.

9. On-pump beating-heart versus conventional coronary artery bypass grafting for revascularization in patients with severe left ventricular dysfunction : early outcomes / B. Erkut [et al.] // Can. J. Surg. - 2013. - Vol. 56, N 6.

10. Guidelines on myocardial revascularization : the Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS) / W. Wijns [et al.] // Eur. Heart. J. - 2010. - Vol. 31. - Р. 2501-55.

11. Реконструктивная хирургия постинфарктных аневризм левого желудочка / А. М. Чернявский [и др.]. - Новосибирск : Гео, 2003. - 179 с.

12. Сравнительная оценка профилактического использования внутриаортальной баллонной контрпульсации и левосимендана у больных ишемической болезнью сердца с низкой фракцией выброса левого желудочка / В. В. Ломиворотов [и др.] // Патология кровообращения и кардиохирургия. - 2011. - № 2. - С. 49-54.

13. Изменение качества жизни больных ишемической болезнью сердца с выраженной дисфункцией левого желудочка после хирургической реваскуляризации миокарда / А. М. Чернявский [и др.] // Патология кровообращения и кардиохирургия. - 2014. - № 2. - С. 22-26.

14. On-pump beating-heart coronary artery bypass grafting after acute myocardialinfarction has lower mortality and morbidity / K. Miyahara [et al.] // J. Thorac. Cardiovasc. Surg. - 2008. - Vol. 135. - Р. 521-6.

15. A randomized comparison of off-pump and on-pump multivessel coronary-artery bypass surgery / N. E. Khan [et al.] // N. Engl. J. Med. - 2004. - Vol. 350. - Р. 21-8.

16. Myocardial revascularization using on-pump beating heart among patients with left ventricular dysfunction / A. K. Darwazah [et al.] // J. Cardiothorac. Surg. - 2010. - Vol. 10. - Р. 109.

17. Preoperative intra aortic balloon pumps in patients undergoing coronary artery bypass grafting / M. L. Field [et al.] // Cochrane Database Syst. Rev. - 2007 Jan. - Vol. 24 (1). - CD004472.

18. Preoperative intraaortic balloon pump enhances cardiac performance and improves the outcome of redo CABG / J. T. Christenson [et al.] // Ann. Thorac. Surg. J. - 1997 Nov. - Vol. 64 (5). - Р. 1237-44.

19. Optimal timing of preoperative intraaortic balloon pump support in high-risk coronary patients / J. T. Christenson [et al.] // Ann. Thorac. Surg. J. - 1999 Sep. - Vol. 68 (3). - Р. 934-9.

20. Efficacy and cost-effectiveness of preoperative IABP in patients with ejection fraction of 0.25 or less / C. A. Dietl [et al.] // Ann. Thorac. Surg. - 1996 Aug. - Vol. 62 (2). - Р. 401-8 ; discussion 408-9.

21. Repair of left ventricular aneurysm during off-pump coronary artery bypass surgery / Y. Yu [et al.] // Chin. Med. J. (Engl). - 2005. - Vol. 118. - Р. 1072-5.


Review

For citations:


Nesmachniy A.S., Chernyavsky A.M., Boboshko A.V., Efendiyev V.U., Ruzmatov T.M., Kareva J.E., Podsosnikova T.N. SURGICAL TREATMENT OF ISCHEMIC HEART DISEASE AT PATIENTS WITH EXPRESSED DYSFUNCTION OF LEFT VENTRICLE IN THE WORKING HEART IN THE CONDITIONS OF PARALLEL ARTIFICIAL CIRCULATION. Journal of Siberian Medical Sciences. 2015;(2):10.

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ISSN 2542-1174 (Print)