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Cited 35 times in

Early and Mid-Term Impacts of Cardiopulmonary Bypass on Coronary Artery Bypass Grafting in Patients With Poor Left Ventricular Dysfunction: A Propensity Score Analysis

DC Field Value Language
dc.contributor.author곽영란-
dc.contributor.author유경종-
dc.contributor.author윤영남-
dc.contributor.author장병철-
dc.contributor.author홍유선-
dc.date.accessioned2014-12-21T16:31:31Z-
dc.date.available2014-12-21T16:31:31Z-
dc.date.issued2007-
dc.identifier.issn1346-9843-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/95853-
dc.description.abstractBackground Cardiopulmonary bypass may exacerbate myocardial damage in compromised left ventricles. Early and mid-term outcomes of off-pump coronary artery bypass grafting (OPCAB) vs on-pump coronary artery bypass grafting (On-pump CABG) were compared in patients with poor left ventricular dysfunction, using an analysis of a propensity score matching. Methods and Results Between December 2000 and November 2005, 1,473 patients underwent isolated coronary artery bypass grafting in our institute and 153 patients who had a left ventricular ejection fraction (LVEF) lower than 35% were enrolled. The OPCAB group contained 100 patients and the On-pump CABG group contained 53 patients. Preoperative risk factors were compared and 50 patients in each group were matched. The mean follow-up time was 35.5±17.3 months. Three deaths (3.0%) occurred in the matched cohort, with no significant difference between 2 groups. The operation time, ventilation time, intensive care unit admission time and occurrence of respiratory failure were significantly lower in the OPCAB group. The mean LVEF of the 2 groups improved significantly. The overall 6-year actuarial survival rates of the OPCAB and On-pump CABG group were 88.2% and 72.4% (p=0.2), respectively, and there were no significant differences in 6-year rates of freedom from major adverse cardiac and cerebrovascular events (p=0.97). Conclusions Coronary artery bypass grafting in patients with poor left ventricular dysfunction improved myocardial function. Postoperative respiratory failure was significantly related to the cardiopulmonary bypass for surgical myocardial revascularization. Off-pump and On-pump surgical revascularization resulted in equivalent mid-term outcomes.-
dc.description.statementOfResponsibilityopen-
dc.format.extent1387~1394-
dc.relation.isPartOfCIRCULATION JOURNAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleEarly and Mid-Term Impacts of Cardiopulmonary Bypass on Coronary Artery Bypass Grafting in Patients With Poor Left Ventricular Dysfunction: A Propensity Score Analysis-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Thoracic & Cardiovascular Surgery (흉부외과학)-
dc.contributor.googleauthorYoung-Nam Youn-
dc.contributor.googleauthorByung-Chul Chang-
dc.contributor.googleauthorKyung-Jong Yoo-
dc.contributor.googleauthorYoung-Lan Kwak-
dc.contributor.googleauthorYou-Sun Hong-
dc.identifier.doi10.1253/circj.71.1387-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00172-
dc.contributor.localIdA02453-
dc.contributor.localIdA02576-
dc.contributor.localIdA03430-
dc.contributor.localIdA04421-
dc.relation.journalcodeJ00534-
dc.identifier.eissn1347-4820-
dc.contributor.alternativeNameKwak, Young Lan-
dc.contributor.alternativeNameYoo, Kyung Jong-
dc.contributor.alternativeNameYoun, Young Nam-
dc.contributor.alternativeNameChang, Byung Chul-
dc.contributor.alternativeNameHong, You Sun-
dc.contributor.affiliatedAuthorKwak, Young Lan-
dc.contributor.affiliatedAuthorYoo, Kyung Jong-
dc.contributor.affiliatedAuthorYoun, Young Nam-
dc.contributor.affiliatedAuthorChang, Byung Chul-
dc.contributor.affiliatedAuthorHong, You Sun-
dc.rights.accessRightsfree-
dc.citation.volume71-
dc.citation.number9-
dc.citation.startPage1387-
dc.citation.endPage1394-
dc.identifier.bibliographicCitationCIRCULATION JOURNAL, Vol.71(9) : 1387-1394, 2007-
dc.identifier.rimsid53244-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers

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