Abstract
Patients suffering from long-term ischemic heart disease and reduced left ventricular ejection fraction initially have high mortality rates even before surgical treatment. Currently, coronary artery bypass grafting is the operation of choice for patients with a low fraction. Despite the fact that this procedure is considered a routine and is performed in many centers of the world, this cohort of patients’ needs special attention, since it is they who have the frequency of intra and postoperative complications (cerebral edema, acute renal failure, acute heart failure, death) is > 4 times higher in comparison with patients who also suffer from coronary heart disease, but have a safety ejection fraction. In this clinical case, we would like to present our surgical experience in treating a patient with coronary heart disease and a reduced ejection fraction (37%) in the scope of coronary artery bypass grafting using the radial artery as a conduit.
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About the authors
- Leo A. Bockeria, Academician of the Russian Academy of Sciences, President of the Center; ORCID
- Merab K. Sanakoev, Cand. Med. Sci., Researcher, Cardiovascular Surgeon; ORCID
- Arkadiy E. Gaziyants, Cardiovascular Surgeon; ORCID
- Sayaly M. Talibova, Cardiologist, Resident; ORCID
- Lasha D. Shengeliya, Cand. Med. Sci., Researcher, Cardiovascular Surgeon; ORCID